MR. PATRON NKURUNZIZA BAZOZA MD
NPI 1285408138
Psychologist - Intellectual and Developmental Disabilities in South Portland, ME

Active since November 10, 2023
586 WESTBROOK ST, SOUTH PORTLAND, ME 04106(325) 518-5324 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Patron Nkurunziza Bazoza Md NPPES

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

MR. PATRON NKURUNZIZA BAZOZA MD (NPI 1285408138) is an individual intellectual and developmental disabilities provider in South Portland, Maine and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1285408138
Entity TypeIndividualMale
Primary Taxonomy103TM1800X
Provider Legal NameMR. PATRON NKURUNZIZA BAZOZACredential: MD
Location Address586 WESTBROOK STSouth Portland, ME 04106-1400
Mailing Address586 Westbrook St Unit 407South Portland, ME 04106-1405 · (325) 518-5324
Sole ProprietorYes
Enumeration DateNovember 10, 2023
NPPES CertifiedNovember 10, 2023
NPI 1285408138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Intellectual and Developmental DisabilitiesBehavioral Health & Social Service Providers
Taxonomy Code103TM1800X
586 WESTBROOK ST, South Portland, ME 04106

Other Names 1

Former Name (1)Mr. Gedeon Ngabire Bazoza Md

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Patron Bazoza's NPI number?

The NPI number for Patron Bazoza is 1285408138. It was assigned to this individual provider in the NPPES registry on November 10, 2023. The provider is also known as Mr. Gedeon Ngabire Bazoza MD.

Where is Patron Bazoza located?

Patron Bazoza practices at 586 Westbrook St, South Portland, ME 04106. The listed phone number is (325) 518-5324.

What is Patron Bazoza's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Intellectual and Developmental Disabilities, with taxonomy code 103TM1800X.

When was this NPI record last updated?

The NPPES record for Patron Bazoza was last updated on November 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.