BREVARD COLLEGE ATHLETICS – Sports Medicine (Family Medicine) Physician, NPI 1831848860

BREVARD COLLEGE ATHLETICS is a healthcare provider. based in Addison, Texas. specializing in Sports Medicine (Family Medicine) Physician. The NPI Number for BREVARD COLLEGE ATHLETICS is 1831848860

Main info

Organization
Name
BREVARD COLLEGE ATHLETICS
NPI
1831848860
Phone
(972) 367-4845
Address
15305 DALLAS PKWY STE 800
Authorized Official
MR. MOUZON BASS ADMINISTRATOR/AGENT
Enumeration Date
18 March 2022
Last Update Date
18 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness80
Years active:4State licenses:0Digital endpointsUpdated within 12 months

Provider Addresses for BREVARD COLLEGE ATHLETICS

  • 15305 DALLAS PKWY STE 800

    ADDISON, TX 750016415

    Phone: (972) 367-4845

    Type: Mailing

  • 1 BREVARD COLLEGE DR

    BREVARD, NC 287124283

    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)

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Medicare Enrollment & Revalidation

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

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 75001)

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Frequently asked questions

What federal number belongs to BREVARD COLLEGE ATHLETICS?
The federal identifier for BREVARD COLLEGE ATHLETICS is NPI 1831848860.
Is BREVARD COLLEGE ATHLETICS active in the national directory?
BREVARD COLLEGE ATHLETICS's public NPI profile is in an active state.
What field does BREVARD COLLEGE ATHLETICS work in?
You can think of BREVARD COLLEGE ATHLETICS as practicing within Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for BREVARD COLLEGE ATHLETICS?
The page summarizes Addison, Texas for BREVARD COLLEGE ATHLETICS; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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