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East Tennessee State University

Family Medicine Physician in Johnson City, TN · enumerated 2020 · authorized official Mouzon Bass, Administrator/Agent.

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

National Provider Identifier

1285264531

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Registry record

Entity type Organization (Type 2)
Legal business name East Tennessee State University
Other name <Unavail>
Practice address 1081 John Robert Bell Dr, Rm W-127, Johnson City, TN, 37614
Phone (972) 367-4845
Enumeration date Jan 24, 2020
Last updated in NPPES Dec 17, 2021

Taxonomy & classification

207Q00000X Family 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.

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Frequently asked questions

Who is the authorized official for East Tennessee State University?
NPPES lists Mouzon Bass (Administrator/Agent) as the authorized official for this organization.
What is the NPI number for East Tennessee State University?
The NPI for East Tennessee State University is 1285264531, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-12-17.