Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DOUGLAS BAZEMORE
Active Sole ProprietorDOUGLAS BAZEMORE is a Contractor healthcare provider located in CHURCHVILLE, Maryland. NPI 1972029007 is currently active in the NPPES registry. Verify at CMS.
Contractor · CHURCHVILLE, MD
Registration Details
- NPI Number
- 1972029007
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 21, 2017 (8.9670035839539 yrs)
- Last Updated
- Jul 21, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
3014 COOL BRANCH ROADCHURCHVILLE, MD, 21028Browse MD providers · Browse ZIP 21028
- Phone
- 4436177277
- Primary Specialty
-
Contractor
171W00000X
- Additional Specialty
- Contractor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.