IndividualActive
Charles Bass, MD
NPI 1407825870 · Family Medicine Physician · St. Louis Park, MN
Provider details
- NPI number
- 1407825870
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 29729 (MN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
5100 Gamble Dr Suite 100 - Mail Stop 31200a
Healthpartners West Clinic
St. Louis Park, MN 55416-1582
Phone: (952) 541-2500
Fax: (952) 595-6455
Approximate (ZIP-level) locationGet directions
Mailing address
8170 33rd Ave S
Minneapolis, MN 55425-4516
Registry dates
- Enumerated
- 2006-03-16
- Last updated
- 2011-12-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.