NPI 1184698573 · live from the CMS NPI Registry
Eric Clinton Bass, D.O.
Radiology, Diagnostic Radiology in Charleston, SC. National Provider Identifier 1184698573, active.
NPI record
| NPI | 1184698573 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 171 Ashley Ave, Charleston, SC 29425 |
| Practice phone | 843-792-1414 |
| Mailing address | Po Box 751461, Charlotte, NC 28275 |
| Enumerated | February 14, 2006 |
| Last updated | January 13, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology | 2085R0202X | OP60653343 (WA) |
| Radiology, Diagnostic Radiology | 2085R0202X | 03683 (KY) |
| Radiology, Diagnostic Radiology | 2085R0202X | 2295 (TN) |
| Radiology, Diagnostic Radiology | 2085R0202X | 02002876A (IN) |
| Radiology, Diagnostic Radiology primary | 2085R0202X | 37621 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.