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

Missouri Baptist University

Organization Sports Medicine (Family Medicine) Physician · NPI 1275237406

Missouri Baptist University provides Sports Medicine (Family Medicine) Physician services in Saint Louis, Missouri. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1 College Park Dr
Saint Louis, MO 63141-8660
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 number1275237406
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mouzon Bass — Administrator · (972) 367-4845
Other names Missouri Baptist University Athletics
NPI enumeratedMarch 30, 2023
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023
Mailing address15305 Dallas Pkwy Ste 800, Addison, TX 75001-6415

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