Murry Alan Bass, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

036051398 Issued in IL

Practice address

4085 N Broadway St
Chicago, IL 60613-2117

Phone

(773) 883-9100

Fax

(773) 883-0005

NPI assigned

Aug 1, 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 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Roper Saint Francis Physicians Network

  • Pulmonary Disease Physician
  • Moncks Corner, SC
  • NPI 1275821688
  NPD (past)

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1679580930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4085 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132117",
            "telephone_number": "773-883-9100",
            "fax_number": "773-883-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4085 N BROADWAY ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606132117",
            "telephone_number": "773-883-9100",
            "fax_number": "773-883-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASS",
        "first_name": "MURRY",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036051398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0001633944",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237403610001",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051398",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ethel Ann Bass, PHD, CADC, CODP1
• Joseph T. Bass, MD, PHD
• Kayla Bass
• Lee Michael Bass, M.D
• Mollie Bass, LMFT
• Nicholas Bass, DPT
• Jan Bassali, PHARMD
• Bassam Osman, MD, SC, LTD
• Bassell Nurse Practitioner Services, LLC
• Zahara Bassett

• Family Medicine Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.