Individual provider Active NPI

Timothy Will Christopher Bass, M.D.

  • Family Medicine Physician
  • Potosi, MO
National Provider Identifier
1760914980
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2020017645 Issued in MO
Practice address
1 Southtowne Dr
Potosi, MO 63664-5729
Phone
(573) 438-9355
NPI assigned
Mar 28, 2017
Sex
Male
Sole proprietor
No

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Un of California, Irvine, College of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Mines Health Center 19 clinicians

Practice addresses (Care Compare)

1 Southtowne Dr
Potosi, MO 63664-5729
Phone (573) 438-9355

Hospital & facility affiliations

  • Parkland Health Center Hospital, Farmington, MO, CCN 260163
  • Washington County Memorial Hospital Hospital, Potosi, MO, CCN 261308
  • Mercy Hospital Jefferson Hospital, Crystal City, MO, CCN 260023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20200825000539 MO Practitioner - Family Practice 8325465206 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2020017645MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Mines Health Center CurrentSince Aug 1, 2020 Accepting new patients
Great Mines Health Center CurrentSince Aug 1, 2020 Accepting new patients
Great Mines Health Center PastSince Aug 3, 2025 Accepting new patients

Locations

508 W Pine St
Farmington, MO 63640
Phone (573) 664-1100

1401 Maple St
Farmington, MO 63640
Phone (573) 664-1100

1 Southtowne Dr
Potosi, MO 63664
Phone (573) 438-8401

Interoperability endpoints

  • Direct secure messaging: timothy.bass@gmhc.eclinicaldirectplus.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2020017645 MO Primary

Addresses

NPPES NPI Registry

Primary practice location

1 Southtowne Dr
Potosi, MO 63664-5729

Mailing address

1 Southtowne Dr
Potosi, MO 63664-5729
Phone (573) 438-7892

Other practice location 1

1401 Maple St
Farmington, MO 63640-8066
Phone (573) 664-1100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 22, 2025.

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1760914980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SOUTHTOWNE DR",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636645729",
            "telephone_number": "573-438-7892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SOUTHTOWNE DR",
            "city": "POTOSI",
            "state": "MO",
            "postal_code": "636645729",
            "telephone_number": "573-438-9355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 Maple St",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "MO",
            "postal_code": "636408066",
            "country_code": "US",
            "telephone_number": "573-664-1100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASS",
        "first_name": "TIMOTHY",
        "middle_name": "WILL CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2020017645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Potosi, MO

Sources for this page

Verify at the official NPI Registry.