NPI 1184201584 · live from the CMS NPI Registry
Derek Russell Bass, DO
Orthopaedic Surgery in Columbus, GA. National Provider Identifier 1184201584, active.
NPI record
| NPI | 1184201584 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 6262 Veterans Pkwy, Columbus, GA 31909 |
| Practice phone | 706-324-6661 |
| Mailing address | Po Box 370, Fortson, GA 31808 |
| Enumerated | March 24, 2021 |
| Last updated | July 9, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 4659 (AL) |
| Orthopaedic Surgery primary | 207X00000X | 112152 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.