OrganizationActive
Southern Virginia University
NPI 1528654159 · Pediatric Allergy/Immunology Physician · Buena Vista, VA
Provider details
- NPI number
- 1528654159
- Entity type
- Organization
- Primary specialty
- Pediatric Allergy/Immunology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mouzon Bass, Administrator/Agent(972) 367-4845
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
1 University Hill Dr
Buena Vista, VA 24416-3038
Phone: (540) 261-8414
Street-level locationGet directions
Mailing address
15305 Dallas Pkwy Ste 800
Addison, TX 75001-6415
Other names (DBA / former)
- Doing business as
- Svu Student Health Services
- Doing business as
- Svu Student Health Services
Registry dates
- Enumerated
- 2020-12-17
- Last updated
- 2021-12-17
- Certified
- 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.