OrganizationActive
Brevard College
NPI 1831848860 · Sports Medicine (Family Medicine) Physician · Brevard, NC
Provider details
- NPI number
- 1831848860
- Entity type
- Organization
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Authorized official
- Mouzon Bass, Administrator/Agent
Mailing address
15305 Dallas Pkwy Ste 800
Addison, TX 75001-6415
Registry dates
- Enumerated
- 2022-03-18
- Last updated
- 2022-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.