Brian Bazoon

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MT22007219 Issued in IN

Practice address

10291 N Meridian St Ste 170
Carmel, IN 46290-1000

Phone

(317) 973-0888

NPI assigned

Oct 20, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Semcotech, LLC

  • Mechanotherapist
  • Indianapolis, IN
  • NPI 1780094524
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1508465683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6574 CAPTIVA PASS",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461688006",
            "telephone_number": "317-332-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10291 N MERIDIAN ST STE 170",
            "city": "CARMEL",
            "state": "IN",
            "postal_code": "462901000",
            "telephone_number": "317-973-0888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZOON",
        "first_name": "BRIAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-20",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IN",
            "license": "MT22007219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audrey Baute, DO
• Sarah Joanne Baxter, DDS
• Linnea Clair Baxtron
• Anita Bayler, M.A. CCC-SLP
• Aileen D Bays, NP
• Be Mindfully Nourished
• Be Well Family Care, LLC
• Amanda Ruth Beach, MD
• Jeffrey Corbett Beach, MD
• Beacon Chiropractic Center, P.C.

• Massage Therapist in Carmel, IN
• Providers in Carmel, IN by specialty
• Massage Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.