Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Brandon Timothy Bazeluk

Individual provider Independent Duty Corpsman · NPI 1023739315

Brandon Timothy Bazeluk is an Independent Duty Corpsman in Havelock, North Carolina. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

210 Kyle Dr
Havelock, NC 28532-1773
Phone: (630) 297-6750
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Independent Duty Corpsman (primary) Taxonomy 1710I1002X

Record details

NPI number1023739315
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 6, 2022
Last updated in NPPESMarch 10, 2023
Certification dateMarch 10, 2023
Mailing address34101 Farenholt Ave, San Diego, CA 92134-7000

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