Queens University of Charlotte
NPI 1457986515 · Sports Medicine (Family Medicine) Physician · Charlotte, NC
Queens University of Charlotte is a Sports Medicine (Family Medicine) Physician organization in Charlotte, NC (NPI 1457986515).
Provider details
- NPI number
- 1457986515
- 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
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
- Queens Sports Medicine
Registry dates
- Enumerated
- 2020-03-10
- Last updated
- 2020-03-10
- Certified
- 2020-03-10
Frequently asked questions
- What is Queens University of Charlotte's NPI number?
- Queens University of Charlotte's National Provider Identifier (NPI) is 1457986515, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Queens University of Charlotte?
- Queens University of Charlotte is classified in the NPPES registry as Sports Medicine (Family Medicine) Physician (Allopathic & Osteopathic Physicians).
- Where is Queens University of Charlotte located?
- Queens University of Charlotte's practice location on file with NPPES is 1900 Selwyn Ave, Charlotte, NC 28274-0001.
- What is Queens University of Charlotte's phone number?
- The practice phone number listed in the NPPES registry for Queens University of Charlotte is (972) 367-4845.
- Who is the authorized official for Queens University of Charlotte?
- The authorized official listed on Queens University of Charlotte'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 Queens University of Charlotte's NPI active?
- Yes — Queens University of Charlotte's NPI (1457986515) is active in the NPPES registry as of the last update on 2020-03-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.