MAURICIO D. BAS JR. M.D. P.C. NPI 1912028531

NPI Information

  • NPI: 1912028531
  • Provider Name: MAURICIO D. BAS, JR., M.D., P.C.
  • Classification: Surgery - 2086S0129X
  • Specialization: Vascular Surgery
  • Entity Type: Organization
  • Address: 1970 OPITZ BLVD
    WOODBRIDGE, VA
    ZIP 22191
  • Phone: (703) 494-8174

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NPI Details

MAURICIO D. BAS, JR., M.D., P.C. is a vascular surgery surgery in Woodbridge, VA. The provider is a surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. MAURICIO D. BAS, JR., M.D., P.C. NPI is 1912028531. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1970 OPITZ BLVD
WOODBRIDGE, VA
ZIP 22191-304
Phone: (703) 494-8174

The provider's authorized official is Mauricio D Bas .
The authorized official title is President and has the following contact phone number (703) 494-8174.

The enumeration date for this NPI number is 4/2/2007 and was last updated on 8/22/2020.

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
12086S0129XSurgeryVascular Surgery0101022428VIRGINIAYes

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
1249067OTHERVIRGINIAANTHEM BLUE CROSS
27449569MEDICAIDVIRGINIA

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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