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CHARLES M BASS MD
NPI 1407825870
Family Medicine in St. Louis Park, MN

Active since March 16, 2006
5100 GAMBLE DR SUITE 100 - MAIL STOP 31200A, HEALTHPARTNERS WEST CLINIC, ST. LOUIS PARK, MN 55416(952) 541-2500(952) 595-6455 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles M Bass Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES M BASS MD (NPI 1407825870) is an individual family medicine provider in St. Louis Park, Minnesota, licensed in Minnesota (29729) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1407825870
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameCHARLES M BASSCredential: MD
Location Address5100 GAMBLE DR SUITE 100 - MAIL STOP 31200A, HEALTHPARTNERS WEST CLINICSt. Louis Park, MN 55416-1582
Mailing Address8170 33rd Ave S, Ms21110qMinneapolis, MN 55425-4516 · (952) 883-5375 · Fax (952) 595-6455
Phone(952) 541-2500
Fax(952) 595-6455
Sole ProprietorNo
Enumeration DateMarch 16, 2006
Last NPPES UpdateDecember 8, 2011
✔ NPI 1407825870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MN · 29729
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
5100 GAMBLE DR SUITE 100 - MAIL STOP 31200A, St. Louis Park, MN 55416
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Other Names 1

Other Name (5)Charles M Bass

Other Identifiers 3

Medicare ID-Type Unspecified080006757MN
Medicare UPIND98158
Medicaid569580500MN

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MICHAEL W KELLY MD
Family Medicine
5100 GAMBLE DR SUITE 100 - MAIL STOP 31200A, HEALTHPARTNERS WEST CLINIC
ST. LOUIS PARK, MN 55416
Hennepin County (952) 541-2500
MICHAEL A TRANGLE MD
Psychiatry & Neurology (Psychiatry)
5100 GAMBLE DR SUITE 100 - MAIL STOP 31200A, HEALTHPARTNERS WEST CLINIC
ST. LOUIS PARK, MN 55416
Hennepin County (952) 541-2500

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Bass's NPI number?

The NPI number for Charles Bass is 1407825870. It was assigned to this individual provider in the NPPES registry on March 16, 2006. The provider is also known as Charles M Bass.

Where is Charles Bass located?

Charles Bass practices at 5100 Gamble Dr Suite 100 - Mail Stop 31200A Healthpartners West Clinic, St. Louis Park, MN 55416. The listed phone number is (952) 541-2500.

What is Charles Bass's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Charles Bass was last updated on December 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.