Bass, R Bruce

Bass, R Bruce is an individual health care provider with primary practice located at 1 Doctors Park Drive Suite B, Spartanburg SC 29307-1008. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bass, R Bruce can be contacted via phone (864) 585-2587.

Contact Information

Primary practice address
1 Doctors Park Drive Suite B Spartanburg SC 29307-1008
Phone: (864) 585-2587
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 14747 South Carolina

Profile Details

NPI number 1598717951
LBN Legal business name Bass, R Bruce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Oct 30th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598717951 NPPES
South Carolina Other P00402263 MEDICARE RAILROAD PTAN#
South Carolina MEDICAID 147479 MEDICARE RAILROAD PTAN#

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