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Queens University of Charlotte

Sports Medicine (Family Medicine) Physician in Charlotte, NC · enumerated 2020 · authorized official Mouzon Bass, Administrator/Agent.

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

National Provider Identifier

1457986515

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Registry record

Entity type Organization (Type 2)
Legal business name Queens University of Charlotte
Practice address 1900 Selwyn Ave, Charlotte, NC, 28274
Phone (972) 367-4845
Enumeration date Mar 10, 2020
Last updated in NPPES Mar 10, 2020

Taxonomy & classification

207QS0010X Sports Medicine (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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-03-10. Verify at npiregistry.cms.hhs.gov.
Where is Queens University of Charlotte located?
The practice location on file with NPPES is in Charlotte, NC.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-03-10.