Barry J. Bass, M.D.
Individual provider Active NPI Specialist · Burleson, TX
NPI 1942265798 · NPPES record last updated Jun 11, 2013
Key facts
- NPI
- 1942265798
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- A11254 (TX)
- Practice address
- 312 E Renfro St
Suite 109
Burleson, TX 76028-3947 - Phone
- (817) 293-9200
- Fax
- (877) 838-0751
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A11254 | TX | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A11254 | TX | Yes |
Addresses
Primary practice location
312 E Renfro St
Suite 109
Burleson, TX 76028-3947
Mailing address
312 East Renfro
Suite 109
Burleson, TX 76028
Phone (817) 293-9200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00182185 | Other | TX | MEDICARE RAILROAD |
| 165043401 | Medicaid | TX |
Other providers in Burleson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2013. 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.