Active NPI
Eric Michael Bass, MD
- Colon & Rectal Surgery Physician
- Frisco, TX
National Provider Identifier
1457324824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Colon & Rectal Surgery Physician
- License
- S8685
- Practice address
- 12500 Dallas Parkway
Frisco, TX 75033-9371 - Phone
- (469) 604-9150
- Fax
- (469) 604-9151
- NPI assigned
- Feb 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 036 083278 | IL | |
| Surgery Physician | 208600000X | S8685 | TX | |
| Surgery Physician | 208600000X | 036083278 | IL | |
| Colon & Rectal Surgery Physician | 208C00000X | 036083278 | IL | |
| Colon & Rectal Surgery Physician | 208C00000X | S8685 | TX | Primary |
Addresses
Primary practice location
12500 Dallas Parkway
Frisco, TX 75033-9371
Mailing address
7263 Sideoats Gama St
Frisco, TX 75033-3298
Phone (469) 604-9150
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0360832781 | Medicaid | IL | |
| 020046539 | Other | IL | RRMC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036 083278 | IL | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1457324824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7263 SIDEOATS GAMA ST",
"city": "FRISCO",
"state": "TX",
"postal_code": "750333298",
"telephone_number": "469-604-9150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12500 DALLAS PARKWAY",
"city": "FRISCO",
"state": "TX",
"postal_code": "750339371",
"telephone_number": "469-604-9150",
"fax_number": "469-604-9151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BASS",
"first_name": "ERIC",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-08",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036 083278",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "S8685",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IL",
"license": "036083278",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "IL",
"license": "036083278",
"primary": false
},
{
"code": "208C00000X",
"taxonomy_group": "",
"desc": "Colon & Rectal Surgery",
"state": "TX",
"license": "S8685",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0360832781",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "020046539",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Frisco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.