Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Glenville State College

Sports Medicine (Internal Medicine) Physician in Glenville, WV · enumerated 2020 · authorized official Mouzon Bass, Administrator/Agent.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1043850191

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Glenville State College

Practice address 200 High St, Glenville, WV, 26351

Phone (972) 367-4845

Enumeration date Jan 7, 2020

Last updated in NPPES Jan 7, 2020

Taxonomy & classification

207RS0010X Sports Medicine (Internal Medicine) Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Mouzon Bass

Title Administrator/Agent

Phone (972) 367-4845

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-01-07. Verify at npiregistry.cms.hhs.gov.

Where is Glenville State College located?

The practice location on file with NPPES is in Glenville, WV.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-01-07.