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

Tuskegee University

Organization Sports Medicine (Neuromusculoskeletal Medicine) Physician · NPI 1902353048

Tuskegee University is a Sports Medicine (Neuromusculoskeletal Medicine) Physician in Tuskegee Institute, Alabama. Licensed in Alabama. Registered with an NPI since 2016.

Licensed in
AL
In the registry since
2016

Practice location Address checks out

1200 W Montgomery Rd Second Fl Logan Hall
Tuskegee Institute, AL 36088-1923
Phone: (334) 724-4545
Show map & directions

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

Specialties & licences

Sports Medicine (Neuromusculoskeletal Medicine) Physician (primary) Taxonomy 204C00000X · Licence 00008637 (AL)

Record details

NPI number1902353048
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Agent · (972) 367-4845
Other names Tuskegee University Sports Medicine
NPI enumeratedSeptember 7, 2016
Last updated in NPPESSeptember 7, 2016
Mailing address5050 Spring Valley Rd., Dallas, TX 75244-3909