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Contact Information

SUMMER G BASS, CRNP
2455 BELL RD
MONTGOMERY, AL36117-4336
 Phone: 334-747-8970
 Fax: 334-747-8980
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for SUMMER G BASS · (Female)

NPI # 1497029003
Status Active
Credentials CRNP (Certified Registered Nurse Practitioner)
Entity Individual
Enumeration date 02/28/2012
Last updated 01/11/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • AL License # 1-101954
  • AL Medicaid 217507
  • AL Medicaid 217644
  • AL Other 512-10643 BCBS OF ALABAMA
  • AL Other 512-10745 BCBS OF ALABAMA
  • AL Other A01473A MEDICARE
  • AL Other P02068129 RAILROAD MEDICARE
  • AL Other Z54548 VIVA HEALTH
Hospital affiliation(s)
  • BAPTIST MEDICAL CENTER SOUTH - (Acute Care)
    2105 EAST SOUTH BOULEVARD
    MONTGOMERY, AL 36116
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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