Concordia College

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

CONCORDIA COLLEGE

Doing business as

Concordia Sports Medicine

Practice address

171 White Plains Rd
Bronxville, NY 10708-1923

Phone

(972) 367-4845

NPI assigned

Aug 21, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mouzon Bass III

Title

Administrator

Phone

(972) 367-4845

Specialties & licenses 1

Addresses

Other names 1

• Concordia Sports Medicine Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534809600000",
    "number": "1497235287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 SPRING VALLEY RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 WHITE PLAINS RD",
            "city": "BRONXVILLE",
            "state": "NY",
            "postal_code": "107081923",
            "telephone_number": "972-367-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCORDIA COLLEGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "MOUZON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "972-367-4845",
        "authorized_official_name_suffix": "III"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concordia Sports Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jeffrey Ira Cohen, M.D.
• Jillian Ashley Cohen, FNP
• Marina Catherine Coleman, LCSW
• Domingo Colon
• Columbia Radiology at Lawrence
• Greco Consing
• Ramona Yulieta Contreras Real
• Pauline E Copeland
• Cornerstone Pediatric Dentistry PC
• Michael Corti, DO

• Orthopaedic Surgery Physician in Bronxville, NY
• Providers in Bronxville, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.