1. Home
  2. Directory
  3. Mississippi
  4. Gulfport
  5. Specialist
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

VICTOR T BAZZONE MD
NPI 1972604650
Specialist in Gulfport, MS

Active since September 26, 2006Opted out of Medicare · through Apr 27, 2028
15190 COMMUNITY RD, SUITE 300, GULFPORT, MS 39503(228) 831-2229(228) 539-8313 Get Directions Write a Review

NPPES record last updated: July 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2026, Aug 17, 2018 (2 updates tracked since 2018).

About Victor T Bazzone Md NPPES

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

VICTOR T BAZZONE MD (NPI 1972604650) is an individual specialist in Gulfport, Mississippi, licensed in Mississippi (07091) and active in the NPI registry since September 2006. He has opted out of Medicare through April 27, 2028.

NPPES Registry Identity

NPI1972604650
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameVICTOR T BAZZONECredential: MD
Location Address15190 COMMUNITY RD, SUITE 300Gulfport, MS 39503-3485
Mailing Address15190 Community Rd, Suite 300Gulfport, MS 39503-3485 · (228) 831-2229 · Fax (228) 539-8313
Phone(228) 831-2229
Fax(228) 539-8313
Sole ProprietorNo
Enumeration DateSeptember 26, 2006
Last NPPES UpdateJuly 12, 20262 updates tracked since enumeration
✔ NPI 1972604650 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MS · 07091
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.
15190 COMMUNITY RD, Gulfport, MS 39503
Open in Google Maps ↗

Other Identifiers 2

OtherP00304930MS · Railroad Medicare
Medicaid078783859MS

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Victor T Bazzone Md has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 27, 2020 through April 27, 2028.

Opt-Out Effective DateApril 27, 2020
Opt-Out In Effect ThroughApril 27, 2028Opt-out affidavits renew automatically every two years unless cancelled

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.

VICTOR P POLITO CRNA
Nurse Anesthetist, Certified Registered
15190 COMMUNITY RD, SUITE 230A
GULFPORT, MS 39503
Harrison County (228) 831-0204
MRS. MICHELLE WRIGHT TAYLOR ACNP
Nurse Practitioner (Acute Care)
15190 COMMUNITY RD, STE 220
GULFPORT, MS 39503
Harrison County (228) 539-3356
GLEN DEITRICK C.R.N.A
Nurse Anesthetist, Certified Registered
15190 COMMUNITY RD, SUITE 230A
GULFPORT, MS 39503
Harrison County (228) 831-0204
JULIE K KLESTER CRNA
Nurse Anesthetist, Certified Registered
15190 COMMUNITY RD, SUITE 230A
GULFPORT, MS 39503
Harrison County (228) 831-0204
JOSHUA DIBBLE
Anesthesiology
15190 COMMUNITY RD
GULFPORT, MS 39503
Harrison County (228) 575-7290
MICHAEL E MOSES MD
Surgery
15190 COMMUNITY RD, SUITE250
GULFPORT, MS 39503
Harrison County (228) 539-8100
MEMORIAL HOSPITAL AT GULFPORT
Urology
15190 COMMUNITY RD, SUITE 240
GULFPORT, MS 39503
Harrison County (228) 539-2242
ROBIN L MITTERER CRNA
Nurse Anesthetist, Certified Registered
15190 COMMUNITY RD, SUITE 230A
GULFPORT, MS 39503
Harrison County (228) 831-0204

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 Victor Bazzone's NPI number?

The NPI number for Victor Bazzone is 1972604650. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Victor Bazzone located?

Victor Bazzone practices at 15190 Community Rd Suite 300, Gulfport, MS 39503. The listed phone number is (228) 831-2229.

What is Victor Bazzone's specialty?

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

Is Victor Bazzone enrolled in Medicare?

No. Victor Bazzone has opted out of Medicare through April 27, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Victor Bazzone was last updated on July 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 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.