Alabama State Sports Medicine – Sports Medicine (Orthopaedic Surgery) Physician, NPI 1205356938

Alabama State Sports Medicine is a healthcare provider. based in Dallas, Texas. specializing in Sports Medicine (Orthopaedic Surgery) Physician. The organization holds a License No. 32588 (AL). The NPI Number for Alabama State Sports Medicine is 1205356938

Main info

Organization
Name
Alabama State Sports Medicine
NPI
1205356938
Phone
Not provided
Address
5050 SPRING VALLEY RD
Authorized Official
MOUZON BASS III AGENT
Enumeration Date
23 June 2017
Last Update Date
23 June 2017
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness80
Years active:8State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for Alabama State Sports Medicine

  • 5050, Spring Valley Road, Farmers Branch, Dallas County, Texas, 75240, United States

    DALLAS, TX 752443995

    Phone:

    Type: Mailing

  • Alabama State University, 915, South Jackson Street, Montgomery, Montgomery County, Alabama, 36104, United States

    MONTGOMERY, AL 361045716

    Phone: (972) 367-4845

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

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Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75244)

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Reviews

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Frequently asked questions

Can I verify Alabama State Sports Medicine with an NPI only?
You can start verification with NPI 1205356938 for Alabama State Sports Medicine, then check state licensing separately.
Is Alabama State Sports Medicine still practicing?
Alabama State Sports Medicine is currently listed as active in the public NPI registry.
What is Alabama State Sports Medicine's primary classification?
Sports Medicine (Orthopaedic Surgery) Physician is the headline specialty for Alabama State Sports Medicine here. Clinical services aligned with this taxonomy classification.
Does Alabama State Sports Medicine list a practice location?
Patients near Dallas, Texas may find Alabama State Sports Medicine in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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