NPI Information

  • NPI: 1902353048
  • Provider Name: TUSKEGEE UNIVERSITY
  • Classification: Neuromusculoskeletal Medicine, Sports Medicine - 204C00000X
  • Entity Type: Organization
  • Doing Business As: TUSKEGEE UNIVERSITY SPORTS MEDICINE
  • Address: 1200 W MONTGOMERY RD
    SECOND FLOOR LOGAN HALL
    TUSKEGEE INSTITUTE, AL
    ZIP 36088
  • Phone: (334) 724-4545

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NPI Details

TUSKEGEE UNIVERSITY is a neuromusculoskeletal medicine sports medicine in Tuskegee Institute, AL. The provider is a Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/ TUSKEGEE UNIVERSITY NPI is 1902353048. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Tuskegee University Sports Medicine.

The provider's business location address is:

1200 W MONTGOMERY RD
SECOND FLOOR LOGAN HALL
TUSKEGEE INSTITUTE, AL
ZIP 36088-923
Phone: (334) 724-4545

The provider's authorized official is Mouzon Bass .
The authorized official title is Agent and has the following contact phone number (972) 367-4845.

The enumeration date for this NPI number is 9/7/2016 and was last updated on 9/7/2016.

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
1204C00000XNeuromusculoskeletal Medicine, Sports Medicine00008637ALABAMAYes

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: 11/21/2025

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