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MARK BAZEMORE
NPI 1528909025
Military Health Care Provider in Eglin Afb, FL

Active since April 01, 2026
307 BOATNER RD STE 114, EGLIN AFB, FL 32542(850) 883-8600 Get Directions Write a Review

NPPES record last updated: May 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2026, Apr 1, 2026 (2 updates tracked since 2026).

About Mark Bazemore NPPES

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

MARK BAZEMORE (NPI 1528909025) is an individual military health care provider provider in Eglin Afb, Florida and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1528909025
Entity TypeIndividual
Primary Taxonomy171000000X
Provider Legal NameMARK BAZEMORE
Location Address307 BOATNER RD STE 114Eglin Afb, FL 32542-1302
Mailing Address307 Boatner Rd Ste 114Eglin Afb, FL 32542-1302
Phone(850) 883-8600
Sole ProprietorNo
Enumeration DateApril 1, 2026
Last NPPES UpdateMay 5, 20262 updates tracked since enumeration
NPPES CertifiedMay 5, 2026
✔ NPI 1528909025 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers
Taxonomy Code171000000X
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
307 BOATNER RD STE 114, Eglin Afb, FL 32542
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LUCAS RYAN PETKEWITZ DPT
Physical Therapist
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8600
DR. JAMES SAXTON
Anesthesiology
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-9394
BODEN JAMES PORT DO
General Practice
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8600
HEATHER DAWN BROCK
Nurse Practitioner (Family)
307 BOATNER RD STE 114
EGLIN, FL 32542
Okaloosa County (850) 883-9042
DR. ANDREW KEITH MATTHIES D.O.
Anesthesiology
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-9394
ANJELI KRISTEN NAYAR POPE M.D.
Internal Medicine
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-9906
DR. ERIC MICHAEL WEISS MD
General Practice
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8600
CAMRON BOWMAN DO
Military Health Care Provider
307 BOATNER RD STE 114
EGLIN AFB, FL 32542
Okaloosa County (850) 883-8288

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 Mark Bazemore's NPI number?

The NPI number for Mark Bazemore is 1528909025. It was assigned to this individual provider in the NPPES registry on April 1, 2026.

Where is Mark Bazemore located?

Mark Bazemore practices at 307 Boatner Rd Ste 114, Eglin Afb, FL 32542. The listed phone number is (850) 883-8600.

What is Mark Bazemore's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Mark Bazemore was last updated on May 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.