MR. LEON BASS JR. (NPI# 1205319050) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205319050 |
| Entity Type | Individual |
| Full Name | MR. LEON BASS JR. |
| Credential | NRP |
| Practice Address |
6280 Sunny Point Rd Bldg 44 Southport NC 28461-7800 |
| Mailing Address |
311 Fire Tower Rd Richlands NC 28574-8161 |
| Practice Telephone | 9104578218 |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PE0004X |
Emergency Medicine Specialization: Emergency Medical Services |
P024529 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063639839 | Leon Charles Bass | Internal Medicine | 105 W Stone Dr Ste 1j, Kingsport, TN 37660-3365 | 2007-04-20 |
| 1720100837 | Leon Bass | Dentist | 18622 Avon Rd, Jamaica, NY 11432-5823 | 2007-04-06 |
| Street Address |
6280 SUNNY POINT RD BLDG 44 |
| City | SOUTHPORT |
| State | NC |
| Zip Code | 28461-7800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467660431 | Womack Army Medical Center | Clinic/Center | 6280 Sunny Point Rd, Occ Health Clinic Military Ocean Terminal Sunny Point, Southport, NC 28461-7800 | 2007-05-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645542 | Island Time Medical and Wellness, Pllc | Clinic/Center | 39 Dowitcher Trl, Bald Head Island, NC 28461 | 2020-09-30 |
| 1871095356 | Sunny Point Fire & Rescue | Emergency Medicine | 6280 Sunny Point Rd Bldg 44, Southport, NC 28461 | 2018-03-01 |
| 1962882035 | Kimberlee Kreuzer | Physical Therapist | 1517 N Howe St Suite 4, Southport, NC 28461 | 2015-06-04 |
| 1134449291 | Kristos Nektarios Vaughan | Family Medicine | 3009 Medical Plaza Lane, Southport, NC 28461 | 2010-06-10 |
| 1750612974 | Melissa Holden | Nurse Practitioner | 1517 N Howe St Ste 12, Southport, NC 28461 | 2010-01-28 |
| 1437315165 | North Carolina Shoulder and Elbow Surgery and Sports Medicine | Orthopaedic Surgery | 900 North Howe St, Southport, NC 28461 | 2008-08-01 |
| 1124212329 | Edward Frank Babel | Nurse Practitioner | 201 West Boiling Spring Lakes Road, New Hope Clinic, Boiling Spring Lakes, NC 28461 | 2007-08-30 |
| 1952453151 | Robert Wayne Poe | Otolaryngology | 900 N. Howe St, Southport, NC 28461 | 2007-01-17 |
| 1275640898 | Kurt Thomas Scheetz | Dentist | 1301 N Howe Street, Southport, NC 28461 | 2006-08-23 |
| 1396859872 | Brunswick Family Medicine Pa | Family Medicine | 3960 Executive Park Blvd, Unit 600, Southport, NC 28461 | 2006-08-19 |
| Find all providers in zip 28461 | ||||
| Taxonomy Code | 207PE0004X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Emergency Medical Services |
| An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) is issued by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871095356 | Sunny Point Fire & Rescue | Emergency Medicine | 6280 Sunny Point Rd Bldg 44, Southport, NC 28461 | 2018-03-01 |
| 1083828982 | James Keller Weingarten | Emergency Medicine | 924 N Howe St, Southport, NC 28461-3038 | 2007-05-09 |
| 1720140262 | Steven Douglas Wilson | Emergency Medicine | 924 N Howe St, Southport, NC 28461-3038 | 2006-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487142105 | Sidney B Mccall | Emergency Medicine | 817 N Spence Ave, Goldsboro, NC 27534-4267 | 2018-04-27 |
| 1538664099 | Unc Rockingham Health Care, Inc. | Emergency Medicine | 6701 Nc Highway 135, Mayodan, NC 27027-8487 | 2018-03-27 |
| 1073916003 | Christopher Leber | Emergency Medicine | 800 Holly St, Aberdeen, NC 28315-3102 | 2014-10-05 |
| 1194153569 | Morehead Memorial Hospital | Emergency Medicine | 6701b Nc Hwy 135, Mayodan, NC 27027-8487 | 2013-10-23 |
| 1376980417 | Beatty Medical Consulting, PC | Emergency Medicine | 9507 Brandemere Ct, Charlotte, NC 28210-1027 | 2013-05-30 |
| 1689841876 | Pablo Oscar Medina Jr. | Emergency Medicine | 2684 Woodruff St, Fort Bragg, NC 28310-0001 | 2008-05-15 |
| 1598703290 | Town of Morehead City | Emergency Medicine | 4034 Arendell St, Morehead City, NC 28557-2925 | 2006-06-03 |
| 1679524193 | Gwendolyn Ruth Whitley | Emergency Medicine | 257 Branchwood Cir Ne, Concord, NC 28025-3103 | 2006-05-12 |
| 1801844436 | Piedmont Urgent Care of N.c | Emergency Medicine | 2972 N Center St, Hickory, NC 28601-1159 | 2006-05-05 |
| 1417916271 | Richard Lequeux Bradner | Emergency Medicine | 9720 S Tryon St, Charlotte, NC 28273-6578 | 2006-03-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.