Mclennan Community College
NPI 1124701412 · Sports Medicine (Family Medicine) Physician · Waco, TX
Mclennan Community College is a Sports Medicine (Family Medicine) Physician organization in Waco, TX (NPI 1124701412).
Provider details
- NPI number
- 1124701412
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mouzon Bass, Administrator/Agent(972) 367-4845
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mclennan Athletics
Registry dates
- Enumerated
- 2023-08-11
- Last updated
- 2023-08-11
- Certified
- 2023-08-11
Frequently asked questions
- What is Mclennan Community College's NPI number?
- Mclennan Community College's National Provider Identifier (NPI) is 1124701412, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mclennan Community College?
- Mclennan Community College is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Mclennan Community College located?
- Mclennan Community College's practice location on file with NPPES is 1400 College Dr, Waco, TX 76708-1402.
- What is Mclennan Community College's phone number?
- The practice phone number listed in the NPPES registry for Mclennan Community College is (972) 367-4845.
- Who is the authorized official for Mclennan Community College?
- The authorized official listed on Mclennan Community College's NPPES record is Mouzon Bass, Administrator/Agent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mclennan Community College's NPI active?
- Yes — Mclennan Community College's NPI (1124701412) is active in the NPPES registry as of the last update on 2023-08-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.