Cheryl C. Bazzle MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

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

Organization subpart

No

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

Authorized official

Name

Cheryl C Bazzle, M.D.NPI 1942419643

Title

MD/Owner

Phone

(256) 880-9345

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Cheryl C Bazzle, M.D.

  • Specialist
  • Huntsville, AL
  • NPI 1942419643

  Internal Medicine

  Medicare reassignment NPD Authorized official

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "J621",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kun Chen, MD, PHD
• Shi-CHI Cheng, M.D.
• Bala M Chennupati, M.D.
• Subba Rao Chenumolu, M.D.
• Yushima Cherry, MSW
• Marcia Jane Chesebro, MD
• Teambra Samantha Chess, MSW, RBT
• Chestmed, PC
• Amanda Crystal Childers
• Hunter Rodney Childers, MD

• Internal Medicine Physician in Huntsville, AL
• Providers in Huntsville, AL by specialty
• Internal Medicine Physician in Alabama

• 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.

Verify at the official NPI Registry.