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GREGORY MAURICE BAZEMORE
NPI 1558849034
Specialist - Prosthetics Case Management in Temple Hills, MD

Active since August 06, 2018
3504 LESLIE AVE, TEMPLE HILLS, MD 20748(703) 955-2567 Get Directions Write a Review

NPPES record last updated: August 6, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 prosthetics case management provider in Temple Hills, Maryland and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1558849034
Entity TypeIndividualMale
Primary Taxonomy1744P3200X
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
✔ NPI 1558849034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist · Prosthetics Case ManagementOther Service Providers
Taxonomy Code1744P3200X
Definition

Under the Other Service Providers; Specialist the Prosthetics Case Management definition changed to: A case manager who provides services for patients with prosthetics.

3504 LESLIE AVE, Temple Hills, MD 20748
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Other Identifiers 2

Other83-1473231MD · Hair Loss Practitioner
Medicaid83-1473231MD

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, specializing in Prosthetics Case Management, with taxonomy code 1744P3200X.

When was this NPI record last updated?

The NPPES record for Gregory Bazemore was last updated on August 6, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.