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TUSKEGEE UNIVERSITY SPORTS MEDICINE
NPI 1902353048
Neuromusculoskeletal Medicine, Sports Medicine in Tuskegee Institute, AL

Active since September 07, 2016
1200 W MONTGOMERY RD, SECOND FLOOR LOGAN HALL, TUSKEGEE INSTITUTE, AL 36088(334) 724-4545 Get Directions Write a Review

NPPES record last updated: September 7, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tuskegee University Sports Medicine NPPES

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

TUSKEGEE UNIVERSITY SPORTS MEDICINE (NPI 1902353048) is a healthcare organization registered as a neuromusculoskeletal medicine, sports medicine in Tuskegee Institute, Alabama and active in the NPI registry since September 2016. The organization lists Mouzon Bass, Agent, as its authorized official.

NPPES Registry Identity

NPI1902353048
Entity TypeOrganization
Primary Taxonomy204C00000X
Legal Business NameTUSKEGEE UNIVERSITY
Location Address1200 W MONTGOMERY RD, SECOND FLOOR LOGAN HALLTuskegee Institute, AL 36088-1923
Mailing Address5050 Spring Valley Rd.Dallas, TX 75244-3909
Phone(334) 724-4545
Organization SubpartNo
Authorized OfficialMouzon BassAgent · (972) 367-4845
Enumeration DateSeptember 7, 2016
✔ NPI 1902353048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeuromusculoskeletal Medicine, Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code204C00000X
License✔ Licensed in AL · 00008637
Definition
A Neuromusculoskeletal Medicine and Osteopathic Manipulative Medicine physician trained to be responsible for the continuous care in the field of sports medicine encompasses increased knowledge and understanding of osteopathic principles and practice and heightened technical skills of osteopathic manipulative medicine and integrates each of these into the management of the individual engaged in physical exercise (sports) whether as an individual or in team participation. Source: American Osteopathic Association Additional Resources: AOA Osteopathic Board Certification in Neuromusculoskeletal Medicine; https://certification.osteopathic.org/sports-medicine/
1200 W MONTGOMERY RD, Tuskegee Institute, AL 36088
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Other Names 1

Doing Business AsTuskegee University 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 2

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

KIARA GIPSON
Specialist/Technologist (Athletic Trainer)
1200 W MONTGOMERY RD
TUSKEGEE INSTITUTE, AL 36088
Macon County (678) 595-7010
LAJOY PAIGE
Specialist/Technologist (Athletic Trainer)
1200 W MONTGOMERY RD, 210 LOGAN HALL
TUSKEGEE INSTITUTE, AL 36088
Macon County (334) 724-4545

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 Tuskegee University's NPI number?

The NPI number for Tuskegee University is 1902353048. It was assigned to this organization in the NPPES registry on September 7, 2016. The provider is doing business as Tuskegee University Sports Medicine.

Where is Tuskegee University located?

Tuskegee University is located at 1200 W Montgomery Rd Second Floor Logan Hall, Tuskegee Institute, AL 36088. The listed phone number is (334) 724-4545.

What is Tuskegee University's specialty?

The primary specialty registered for this NPI is Neuromusculoskeletal Medicine, Sports Medicine with taxonomy code 204C00000X.

When was this NPI record last updated?

The NPPES record for Tuskegee University was last updated on September 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.