Alabama State University
NPI 1205356938ActiveOrganization· Orthopaedic Surgery, Sports Medicine· Montgomery, AL
Orthopaedic Surgery, Sports Medicine in Montgomery, Alabama, registered in NPPES in June 2017. The authorized official on file is Mouzon Bass, Agent.
Overview
| NPI | 1205356938 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 23, 2017 |
| Last updated in NPPES | Jun 23, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery, Sports Medicine Primary | 207XX0005X | 32588 | AL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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