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

Christian Brothers University

Organization Sports Medicine (Family Medicine) Physician · NPI 1063161156

Christian Brothers University is a Sports Medicine (Family Medicine) Physician in Memphis, Tennessee. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

650 E Pkwy S
Memphis, TN 38104-5519
Phone: (972) 367-4845
Show map & directions

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

Specialties & licences

Sports Medicine (Family Medicine) Physician (primary) Taxonomy 207QS0010X

Record details

NPI number1063161156
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator/Agent · (972) 367-4845
Other names Christian Brothers University Athletics
NPI enumeratedMarch 23, 2022
Last updated in NPPESMarch 23, 2022
Certification dateMarch 23, 2022
Mailing address15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415