Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

GREGORY MAURICE BAZEMORE
NPI 1558849034
Specialist in Temple Hills, MD

Q: What is Gregory Bazemore's NPI number?

The NPI number for Gregory Bazemore is 1558849034. It was assigned to this individual provider in the NPPES registry on August 6, 2018.

Q: What is Gregory Bazemore's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Q: When was this NPI record last updated?

The NPPES record for Gregory Bazemore was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.

Active since August 06, 2018

3504 LESLIE AVE, TEMPLE HILLS, MD 20748(703) 955-2567 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 8, 2026, Aug 6, 2018 (2 updates tracked since 2018).

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About Gregory Maurice Bazemore NPPES

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

GREGORY MAURICE BAZEMORE (NPI 1558849034) is an individual specialist in Temple Hills, Maryland, licensed in Maryland (04-110002) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1558849034

Entity TypeIndividualMale

Primary Taxonomy174400000X

Provider Legal NameGREGORY MAURICE BAZEMORE

Location Address3504 LESLIE AVETemple Hills, MD 20748-4634

Mailing Address3504 Leslie AveTemple Hills, MD 20748-4634 · (703) 955-2567

Phone(703) 955-2567

Sole ProprietorNo

Enumeration DateAugust 6, 2018

Last NPPES UpdateSeptember 8, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 8, 2026

✔ NPI 1558849034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MD · 04-110002

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3504 LESLIE AVE, Temple Hills, MD 20748

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Other Identifiers 2

Other83-1473231MD · Hair Loss Practitioner

Medicaid83-1473231MD

Other Providers at the Same Location NPPES

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

THE GREG BAZEMORE CONCEPTS LLC

Durable Medical Equipment & Medical Supplies

3504 LESLIE AVE
TEMPLE HILLS, MD 20748

Prince George's County (703) 955-2567

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 Gregory Bazemore's NPI number?

The NPI number for Gregory Bazemore is 1558849034. It was assigned to this individual provider in the NPPES registry on August 6, 2018.

Where is Gregory Bazemore located?

Gregory Bazemore practices at 3504 Leslie Ave, Temple Hills, MD 20748. The listed phone number is (703) 955-2567.

What is Gregory Bazemore's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Gregory Bazemore was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.