Active NPI
Cheryl C. Bazzle MD, PC
- Internal Medicine Physician
- Huntsville, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CHERYL C. BAZZLE MD, PC
- Practice address
- 333 Whitesport Dr SW
Suite 103
Huntsville, AL 35801-6454 - Phone
- (256) 880-9345
- Fax
- (256) 880-3961
- NPI assigned
- Dec 7, 2007
- Last updated
- Feb 10, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cheryl C Bazzle, M.D.
- Title
- MD/Owner
- Phone
- (256) 880-9345
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
333 Whitesport Dr SW
Suite 103
Huntsville, AL 35801-6454
Mailing address
333 Whitesport Dr SW
Suite 103
Huntsville, AL 35801-6454
Phone (256) 880-9345
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 01D1019713 | Cheryl C Bazzle MD PC | Certificate of waiver | Nov 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
1 Hospital Dr SW
Ste 202
Huntsville, AL 35801
Phone (256) 429-5285
333 Whitesport Dr SW
Ste 103
Huntsville, AL 35801
Phone (256) 880-8776
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nurse Practitioner
- Madison, AL
- NPI 1780320770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196985600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581292800000",
"number": "1619150034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 WHITESPORT DR SW",
"address_2": "SUITE 103",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358016454",
"telephone_number": "256-880-9345",
"fax_number": "256-880-3961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 WHITESPORT DR SW",
"address_2": "SUITE 103",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358016454",
"telephone_number": "256-880-9345",
"fax_number": "256-880-3961"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHERYL C. BAZZLE MD, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-07",
"last_updated": "2020-02-10",
"certification_date": "2020-02-10",
"status": "A",
"authorized_official_last_name": "BAZZLE",
"authorized_official_first_name": "CHERYL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "MD/OWNER",
"authorized_official_telephone_number": "256-880-9345",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.