DR. ERIC CLINTON BASS D.O. NPI 1184698573

NPI Information

NPI: 1184698573
Provider Name: DR. ERIC CLINTON BASS, D.O.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: UNIVERSITY MEDICAL ASSOCIATES

PECOS Registration: Yes

Address:
171 ASHLEY AVE
CHARLESTON, SC
ZIP 29425
Phone: (843) 792-1414
Get Directions

DR. Eric Clinton Bass, D.O. is a diagnostic radiology radiology in Charleston, SC with 21 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Eric Clinton Bass, D.O. NPI is 1184698573. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:2003

The provider's business location address is:

171 ASHLEY AVE
CHARLESTON, SC
ZIP 29425-908
Phone: (843) 792-1414

The NPI 1184698573 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/14/2006 and was last updated on 1/13/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0202X	Radiology	Diagnostic Radiology	37621	SOUTH CAROLINA	Yes
2	2085R0202X	Radiology	Diagnostic Radiology	02002876A	INDIANA	No
3	2085R0202X	Radiology	Diagnostic Radiology	2295	TENNESSEE	No
4	2085R0202X	Radiology	Diagnostic Radiology	03683	KENTUCKY	No
5	2085R0202X	Radiology	Diagnostic Radiology	OP60653343	WASHINGTON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	LL37621	OTHER	SOUTH CAROLINA	STATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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