Provider Demographics
NPI:1003957952
Name:BASS, ROBERT ANDREWS (MD)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:ANDREWS
Last Name:BASS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1747 MEDICAL CENTER PKWY STE 210
Mailing Address - Street 2:
Mailing Address - City:MURFREESBORO
Mailing Address - State:TN
Mailing Address - Zip Code:37129-2563
Mailing Address - Country:US
Mailing Address - Phone:615-893-1600
Mailing Address - Fax:615-225-6887
Practice Address - Street 1:1747 MEDICAL CENTER PKWY STE 210
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37129-2563
Practice Address - Country:US
Practice Address - Phone:615-893-1600
Practice Address - Fax:615-225-6887
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2019-09-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LAMD.201359208800000X
KS9405690208800000X
TNMD59818208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology