OrganizationActive
Benedictine College
NPI 1275056400 · Sports Medicine (Orthopaedic Surgery) Physician · Atchison, KS
Provider details
- NPI number
- 1275056400
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Orthopaedic Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mouzon Bass, Agent(972) 367-4845
- License
- 04-29855 (KS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1020 N 2nd St Rm 103
Atchison, KS 66002-1402
Phone: (972) 367-4845
Street-level locationGet directions
Mailing address
5050 Spring Valley Rd
Dallas, TX 75244-3995
Other names (DBA / former)
- Doing business as
- Benedictine College Sports Medicine
Additional practice locations (1)
- 1020 N 2nd StAtchison, KS 66002-1402Phone: (913) 360-7624
Registry dates
- Enumerated
- 2017-07-19
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.