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

Mark Bazemore

Individual provider Military Health Care Provider · NPI 1528909025

Mark Bazemore is a Military Health Care Provider in Eglin AFB, Florida. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

307 Boatner Rd Ste 114
Eglin AFB, FL 32542-1302
Phone: (850) 883-8600
Show map & directions

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

Specialties & licences

Military Health Care Provider (primary) Taxonomy 171000000X

Record details

NPI number1528909025
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorNo
NPI enumeratedApril 1, 2026
Last updated in NPPESMay 5, 2026
Certification dateMay 5, 2026
Mailing address307 Boatner Rd Ste 114, Eglin Afb, FL 32542-1302

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