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

Bloomsburg University Speech & Hearing Clinic

Organization Sports Medicine (Orthopaedic Surgery) Physician · NPI 1538791538

Bloomsburg University Speech & Hearing Clinic is a Sports Medicine (Orthopaedic Surgery) Physician in Bloomsburg, Pennsylvania. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

400 E 2nd St
Bloomsburg, PA 17815-1301
Phone: (570) 389-4000
Show map & directions

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

Specialties & licences

Sports Medicine (Orthopaedic Surgery) Physician (primary) Taxonomy 207XX0005X

Record details

NPI number1538791538
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator/Agent · (972) 367-4845
Other names Bloomsburg Sports Medicine; Bloomsburg Sports Medicine
NPI enumeratedFebruary 7, 2020
Last updated in NPPESDecember 17, 2021
Certification dateDecember 17, 2021
Mailing address15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415