Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Benedictine College

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1275056400

Benedictine College is a Sports Medicine (Orthopaedic Surgery) Physician in Atchison, Kansas. Works from 2 locations. Licensed in Kansas.

Licensed in
KS
In the registry since
2017

Practice location Address checks out

1020 N 2nd St Rm 103
Atchison, KS 66002-1402
Phone: (972) 367-4845
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1020 N 2nd St, Atchison, KS 66002-1402 — (913) 360-7624

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X · Licence 04-29855 (KS)

Record details

NPI number1275056400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Benedictine College Sports Medicine
NPI enumeratedJuly 19, 2017
Last updated in NPPESJuly 21, 2022
Mailing address5050 Spring Valley Rd, Dallas, TX 75244-3995