Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Christian Brothers University

Organization Sports Medicine (Family Medicine) Physician · NPI 1063161156

Christian Brothers University provides Sports Medicine (Family Medicine) Physician services 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