Organization Active NPI

Curtis E Bazemore MD PC

  • Emergency Medicine Physician
  • North Las Vegas, NV
National Provider Identifier
1952656563
Registry record updated Apr 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
8408 Issued in NV
Legal business name
CURTIS E BAZEMORE MD PC
Practice address
6424 Losee Rd Ste 100
North Las Vegas, NV 89086-0102
Phone
(702) 677-2273
Fax
(702) 330-3332
NPI assigned
Jul 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2015

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

Authorized official

Name
Dr. Curtis E Bazemore Jr., MDNPI 1477619831
Title
President
Phone
(702) 677-2273

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X 8408 NV Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X

Addresses

Primary practice location

6424 Losee Rd Ste 100
North Las Vegas, NV 89086-0102

Mailing address

6424 Losee Rd Ste 100
North Las Vegas, NV 89086-0102
Phone (702) 677-2273

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120802000268 NV Part B Supplier - Clinic/Group Practice 7315193679 Receives reassigned benefits from 2 practitioners
Practice locations: N Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

6426 N Losee Rd 100
North Las Vegas, NV 89086

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1342656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1952656563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6424 LOSEE RD STE 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890860102",
            "telephone_number": "702-677-2273",
            "fax_number": "702-330-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6424 LOSEE RD STE 100",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890860102",
            "telephone_number": "702-677-2273",
            "fax_number": "702-330-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CURTIS E BAZEMORE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-19",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "BAZEMORE",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-677-2273",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "8408",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.