BRANDON TIMOTHY BAZELUK
NPI 1023739315
Military Health Care Provider - Independent Duty Corpsman in Havelock, NC

Active since September 06, 2022
210 KYLE DR, HAVELOCK, NC 28532(630) 297-6750 Get Directions Write a Review

NPPES record last updated: March 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2023, Sep 6, 2022 (2 updates tracked since 2022).

About Brandon Timothy Bazeluk NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDON TIMOTHY BAZELUK (NPI 1023739315) is an individual independent duty corpsman provider in Havelock, North Carolina and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1023739315
Entity TypeIndividualMale
Primary Taxonomy1710I1002X
Provider Legal NameBRANDON TIMOTHY BAZELUK
Location Address210 KYLE DRHavelock, NC 28532-1773
Mailing Address34101 Farenholt AveSan Diego, CA 92134-7000
Sole ProprietorNo
Enumeration DateSeptember 6, 2022
Last NPPES UpdateMarch 10, 20232 updates tracked since enumeration
NPPES CertifiedMarch 10, 2023
NPI 1023739315 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers
Taxonomy Code1710I1002X
Definition
A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.
210 KYLE DR, Havelock, NC 28532

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandon Bazeluk's NPI number?

The NPI number for Brandon Bazeluk is 1023739315. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Where is Brandon Bazeluk located?

Brandon Bazeluk practices at 210 Kyle Dr, Havelock, NC 28532. The listed phone number is (630) 297-6750.

What is Brandon Bazeluk's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Brandon Bazeluk was last updated on March 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.