KING UNIVERSITY ATHLETICS - NPI 1780340125 - Family Medicine in Bristol, TN

Q: What is King University's NPI number?

The NPI number for King University is 1780340125. It was assigned to this organization in the NPPES registry on November 10, 2021. The provider is doing business as King University Athletics.

Q: What is King University's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Q: When was this NPI record last updated?

The NPPES record for King University was last updated on December 17, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About King University Athletics NPPES

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

KING UNIVERSITY ATHLETICS (NPI 1780340125) is a healthcare organization registered as a sports medicine in Bristol, Tennessee and active in the NPI registry since November 2021. The organization lists Mouzon Bass, Administrator/agent, as its authorized official.

NPPES Registry Identity

NPI1780340125

Entity TypeOrganization

Primary Taxonomy207QS0010X

Legal Business NameKING UNIVERSITY

Location Address1350 KING COLLEGE RDBristol, TN 37620-2632

Mailing Address15305 Dallas Pkwy Ste 800Addison, TX 75001-6415 · (972) 367-4845

Phone(972) 367-4845

Organization SubpartNo

Authorized OfficialMouzon BassAdministrator/agent · (972) 367-4845

Enumeration DateNovember 10, 2021

Last NPPES UpdateDecember 17, 20212 updates tracked since enumeration

NPPES CertifiedDecember 17, 2021

✔ NPI 1780340125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QS0010X

Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

1350 KING COLLEGE RD, Bristol, TN 37620

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Other Names 1

Doing Business AsKing University Athletics

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 5

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

MRS. SHELIA D CROCKETT ATC/L

Specialist/Technologist (Athletic Trainer)