NPIMap

Individual provider Active NPI

Cheryl C Bazzle, M.D.

  • Specialist
  • Huntsville, AL
National Provider Identifier
1942419643
Registry record updated Jan 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
23017 Issued in AL
Practice address
333 Whitesport Dr.
Suite 103
Huntsville, AL 35801
Phone
(256) 880-9345
Fax
(256) 880-3961
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 23017 AL Primary
Internal Medicine Physician 207R00000X 00023017 AL

Addresses

Primary practice location

333 Whitesport Dr.
Suite 103
Huntsville, AL 35801

Mailing address

333 Whitesport Dr.
Suite 103
Huntsville, AL 35801
Phone (256) 880-9345

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040210000476 AL Practitioner - Internal Medicine 9739072406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

333 Whitesport Dr
Suite 103
Huntsville, AL 35801-3455
Phone (256) 880-9345

333 Whitesport Dr SW
Suite 103
Huntsville, AL 35801-3455

Hospital & facility affiliations

  • Huntsville Hospital Homecare Home health agency, Huntsville, AL, CCN 017119
  • Centerwell Home Health Home health agency, Huntsville, AL, CCN 017161
  • Compassus-Florence Hospice, Florence, AL, CCN 011678
  • Heartlite Hospice Hospice, Scottsboro, AL, CCN 011634
  • Hospice of North Alabama, LLC Hospice, Huntsville, AL, CCN 011622
  • Huntsville Hospital Hospital, Huntsville, AL, CCN 010039
  • Highlands Medical Center Hospital, Scottsboro, AL, CCN 010061
  • Crestwood Medical Center Hospital, Huntsville, AL, CCN 010131
  • Cloverdale Rehabilitation and Wellness Nursing home, Scottsboro, AL, CCN 015184
  • Altoona Health & Rehab Nursing home, Altoona, AL, CCN 015101

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23017ALMDSpecialist
00023017ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cheryl C. Bazzle MD, PC Internal Medicine CurrentSince Dec 1, 2003 Accepting new patients
Altoona Health & Rehab, Inc. Past Accepting new patients
Cloverdale Health Care, Inc. Past Accepting new patients

Locations

333 Whitesport Dr SW
Ste 103
Huntsville, AL 35801
Phone (256) 880-8776

Interoperability endpoints

  • Direct secure messaging: cheryl.bazzle.1@32052.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Cloverdale Rehabilitation and Nursing CenterScottsboro, AL, CCN 015184 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2025
Jan 1, 2025
Compassus-FlorenceFlorence, AL, CCN 011678 Hospice Contracted Managing Employee Jan 1, 2016

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 3

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.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1231286400000",
    "number": "1942419643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 WHITESPORT DR.",
            "address_2": "SUITE 103",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "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.",
            "address_2": "SUITE 103",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "35801",
            "telephone_number": "256-880-9345",
            "fax_number": "256-880-3961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZZLE",
        "first_name": "CHERYL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2009-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AL",
            "license": "23017",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00023017",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.