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

Dr. Derek Glenn Bazemore Jr., MD

Individual provider Emergency Medicine Physician · NPI 1639495245

Dr. Derek Glenn Bazemore Jr., MD is an Emergency Medicine in Miami, Florida. Graduated from New York University School of Medicine in 2005, 21 years ago. Practices with Paragon Contracting Services LLC, a 395-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
21
Trained at
New York University School of Medicine
Licensed in
FL
In the registry since
2010
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12750 SW 128th St Ste 108
Miami, FL 33186-5380
Phone: (917) 750-5709
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence ME107380 (FL)
Emergency Medicine Physician Taxonomy 207P00000X · Licence ME107380 (FL)
General Practice Physician Taxonomy 208D00000X · Licence ME107380 (FL)

Record details

NPI number1639495245
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 8, 2010
Last updated in NPPESJune 14, 2023
Certification dateJune 14, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 2005 (21 years in practice)
Group practice Paragon Contracting Services Llc — 395 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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