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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEREK RUSSELL BASS, DO

Active

DEREK RUSSELL BASS, DO is a Student (Health Education/Training) healthcare provider located in KINGSPORT, Tennessee. NPI 1184201584 is currently active in the NPPES registry. Verify at CMS.

Student (Health Education/Training) · KINGSPORT, TN

Registration Details

NPI Number
1184201584
Provider Type
Individual
Gender
Male
NPI Issued
Mar 24, 2021 (5.3553176716973 yrs)
Last Updated
Mar 24, 2021

Practice Information

Address
130 W RAVINE RD STE 9C
KINGSPORT, TN, 376603837
Browse TN providers · Browse ZIP 37660
Phone
4232243292
Fax
4232243215
Primary Specialty
Student (Health Education/Training)
390200000X

Other Student (Health Education/Training) Providers in KINGSPORT, TN

Name Credential NPI
DR. WESLEY BUELL PARRIS M.D. 1376738401
THOMAS D STOSS M.D. 1437346004
SRINIVAS UPPATLA M.D 1609005537
DR. JASON RYAN LINK HO TSANG M.D. 1871858845
DR. EDDIE KO M.D. 1477968212
JAMES PAUL QUALLS DO 1396239174
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.