East Tennessee State University
NPI 1285264531 · Family Medicine Physician · Johnson City, TN
East Tennessee State University is a Family Medicine Physician organization in Johnson City, TN (NPI 1285264531).
Provider details
- NPI number
- 1285264531
- Entity type
- Organization
- Primary specialty
- 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
6 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
- Etsu Sports Medicine
- Doing business as
- Etsu Sports Medicine
Registry dates
- Enumerated
- 2020-01-24
- Last updated
- 2021-12-17
- Certified
- 2021-12-17
Frequently asked questions
- What is East Tennessee State University's NPI number?
- East Tennessee State University's National Provider Identifier (NPI) is 1285264531, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is East Tennessee State University?
- East Tennessee State University is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is East Tennessee State University located?
- East Tennessee State University's practice location on file with NPPES is 1081 John Robert Bell Dr, Johnson City, TN 37614.
- What is East Tennessee State University's phone number?
- The practice phone number listed in the NPPES registry for East Tennessee State University is (972) 367-4845.
- Who is the authorized official for East Tennessee State University?
- The authorized official listed on East Tennessee State University'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 East Tennessee State University's NPI active?
- Yes — East Tennessee State University's NPI (1285264531) is active in the NPPES registry as of the last update on 2021-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.