Active NPI
William Bernard Bass, ARNP
- Nurse Practitioner
- Port St Lucie, FL
National Provider Identifier
1790057859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9193378
- Practice address
- 1801 SE Hillmoor Dr Ste B-105
Port St Lucie, FL 34952-7545 - Phone
- (772) 398-9911
- Fax
- (772) 398-4374
- NPI assigned
- Feb 6, 2012
- Last updated
- Sep 4, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | ARNP9193378 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | 9193378 | FL | |
| Nurse Practitioner | 363L00000X | ARNP9193378 | FL | Primary |
Addresses
Primary practice location
1801 SE Hillmoor Dr Ste B-105
Port St Lucie, FL 34952-7545
Mailing address
1801 SE Hillmoor Dr Ste B-105
Port St Lucie, FL 34952-7545
Phone (772) 398-9911
Other practice location 1
1916 Highway 441 North
Okeechobee, FL 34972
Phone (863) 357-7791
Other practice location 2
2100 Nebraska Ave Ste 203
Fort Pierce, FL 34950-4832
Phone (772) 464-6055
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)
- Not enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303015 | NY | MD | Licensed Practical Nurse |
| ARNP9193378 | FL | MD | Otolaryngology Physician |
| 9193378 | FL | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| ENT and Allergy Associates of Florida, LLC | Otolaryngology | Past | Accepting new patients |
| DRS Berghash & Lanza PL | Otolaryngology | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Port St Lucie, FL
- NPI 1184681330
-
- Otolaryngology Physician
- Boca Raton, FL
- NPI 1164473120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1328486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536019200000",
"number": "1790057859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 SE HILLMOOR DR STE B-105",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527545",
"telephone_number": "772-398-9911",
"fax_number": "772-398-4374"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1801 SE HILLMOOR DR STE B-105",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349527545",
"telephone_number": "772-398-9911",
"fax_number": "772-398-4374"
}
],
"practiceLocations": [
{
"address_1": "1916 Highway 441 North",
"address_purpose": "LOCATION",
"city": "Okeechobee",
"state": "FL",
"postal_code": "34972",
"country_code": "US",
"telephone_number": "863-357-7791",
"fax_number": "863-357-6934",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2100 Nebraska Ave Ste 203",
"address_purpose": "LOCATION",
"city": "Fort Pierce",
"state": "FL",
"postal_code": "349504832",
"country_code": "US",
"telephone_number": "772-464-6055",
"fax_number": "772-464-2446",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BASS",
"first_name": "WILLIAM",
"middle_name": "BERNARD",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-02-06",
"last_updated": "2018-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "FL",
"license": "ARNP9193378",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "9193378",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9193378",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.