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LIBERTY SPORTS MEDICINE
NPI 1750848644
General Practice in Lynchburg, VA

Active since February 27, 2019
1971 UNIVERSITY BLVD, LYNCHBURG, VA 24515(972) 367-4845 Get Directions Write a Review

NPPES record last updated: February 27, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Liberty Sports Medicine NPPES

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

LIBERTY SPORTS MEDICINE (NPI 1750848644) is a healthcare organization registered as a general practice in Lynchburg, Virginia and active in the NPI registry since February 2019. The organization lists Mouzon Bass, Administrator, as its authorized official.

NPPES Registry Identity

NPI1750848644
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameLIBERTY UNIVERSITY, INC
Location Address1971 UNIVERSITY BLVDLynchburg, VA 24515-0002
Mailing Address5050 Spring Valley RdDallas, TX 75244-3995
Phone(972) 367-4845
Organization SubpartNo
Authorized OfficialMouzon BassAdministrator · (972) 367-4845
Enumeration DateFebruary 27, 2019
✔ NPI 1750848644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1971 UNIVERSITY BLVD, Lynchburg, VA 24515
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Other Names 1

Doing Business AsLiberty Sports Medicine

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

BENJAMIN FROELICH ATC
Specialist/Technologist (Athletic Trainer)
1971 UNIVERSITY BLVD
LYNCHBURG, VA 24515
Lynchburg City (804) 837-4681
DR. JOHN GEORGE COOTS ED.D, LAT, ATC
Specialist/Technologist (Athletic Trainer)
1971 UNIVERSITY BLVD, LIBERTY UNIVERSITY
LYNCHBURG, VA 24515
Lynchburg City (434) 592-7647
JENNIFER S MCCURLEY PA-C
Physician Assistant
1971 UNIVERSITY BLVD, SUITE 1895
LYNCHBURG, VA 24515
Lynchburg City (434) 338-7774
LAURA FAITH MANCUSO ATC
Specialist/Technologist (Athletic Trainer)
1971 UNIVERSITY BLVD
LYNCHBURG, VA 24515
Lynchburg City (434) 582-7458
ELIZABETH SHANNON RODGERS
Specialist/Technologist (Athletic Trainer)
1971 UNIVERSITY BLVD
LYNCHBURG, VA 24515
Lynchburg City (855) 814-8615
TANNER JAMES BOHAN
Specialist/Technologist (Athletic Trainer)
1971 UNIVERSITY BLVD
LYNCHBURG, VA 24515
Lynchburg City (269) 491-5277
MR. SCOTT G LAWRENSON ATC
Preventive Medicine (Sports Medicine)
1971 UNIVERSITY BLVD, LIBERTY UNIVERSITY SPORTS MED
LYNCHBURG, VA 24515
Lynchburg City (434) 592-6506
SAMANTHA V SATCHER
Student in an Organized Health Care Education/Training Program
1971 UNIVERSITY BLVD
LYNCHBURG, VA 24515
Lynchburg City (302) 588-8144

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 Liberty University, Inc's NPI number?

The NPI number for Liberty University, Inc is 1750848644. It was assigned to this organization in the NPPES registry on February 27, 2019. The provider is doing business as Liberty Sports Medicine.

Where is Liberty University, Inc located?

Liberty University, Inc is located at 1971 University Blvd, Lynchburg, VA 24515. The listed phone number is (972) 367-4845.

What is Liberty University, Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Liberty University, Inc was last updated on February 27, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.