Brevard College
Organization Active NPI Sports Medicine (Family Medicine) Physician · Brevard, NC
NPI 1831848860 · NPPES record last updated Mar 18, 2022
Key facts
- NPI
- 1831848860
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Sports Medicine (Family Medicine) Physician 207QS0010X
- Legal business name
- BREVARD COLLEGE
- Practice address
- 1 Brevard College Dr
Brevard, NC 28712-4283 - Phone
- (972) 367-4845
- NPI assigned
- Mar 18, 2022
- Organization subpart
- No
Authorized official
- Name
- Mr. Mouzon Bass
- Title
- Administrator/Agent
- Phone
- (972) 367-4845
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Brevard College
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician |
207QS0010X | Yes |
Addresses
Primary practice location
1 Brevard College Dr
Brevard, NC 28712-4283
Mailing address
15305 Dallas Pkwy Ste 800
Addison, TX 75001-6415
Phone (972) 367-4845
Other names
- BREVARD COLLEGE ATHLETICS
Other providers in Brevard, NC
- Elizabeth Lauren Boulos
- David T Braun
- Jacquelyn Lee Bray
- Brevard Chiropractic Center PA
- Brevard College
- Brevard Drug Company LLC
- Brevard Hearing Center of North Carolina PLLC
- Brevard Hearing Center, LLC
- Brevard NC Opco LLC
- Brevard North Operating Al, LLC
All providers in Brevard, NC · Sports Medicine (Family Medicine) Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 18, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.