R Bruce Bass, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

14747 Issued in SC

Practice address

1 Doctors Park Drive
Suite B
Spartanburg, SC 29307-1008

Phone

(864) 585-2587

NPI assigned

May 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225324800000",
    "number": "1598717951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277827",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303847827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DOCTORS PARK DRIVE",
            "address_2": "SUITE B",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071008",
            "telephone_number": "864-585-2587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "R",
        "middle_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "14747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD PTAN#",
            "identifier": "P00402263",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147479",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barry Dean Chiropractic, LLC
• Amber Bartkowiak, FNP-C
• Amy Christine Baruch, MD
• Lori Waldrop Barwick, M.D.
• Landa M. Basham, LMFT
• Jamie M Baston, LMSW
• James Richard Batson Jr.
• Connie Sue Battleson, RN, MSN, C-FNP
• Joanna Bauer, DMD
• Otis L Baughman III, M.D.

• Urology Physician in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Urology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2008; 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.