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

Mark Paul Bazant, MD

Individual provider Neurology Physician · NPI 1407018187

Mark Paul Bazant, MD is a Neurology in Louisville, Kentucky. Graduated from Univ of Nebraska Medical Center, Col of Dentistry in 2008, 18 years ago. Practices with Community Medical Associates Inc, a 1,365-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Indiana and Kentucky.

Years since qualifying
18
Trained at
Univ of Nebraska Medical Center, Col of Dentistry
Licensed in
IN, KY
In the registry since
2008
Specialties on file
2
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

3991 Dutchmans Ln Ste 310
Louisville, KY 40207-4700
Phone: (502) 899-6782
Fax: (502) 899-6783
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 45824 (KY)
Neurology Physician Taxonomy 2084N0400X · Licence 01071068A (IN)

Record details

NPI number1407018187
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 25, 2008
Last updated in NPPESJanuary 12, 2021
Certification dateJanuary 12, 2021
Mailing addressPo Box 776351, Chicago, IL 60677-6351

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolUNIV OF NEBRASKA MEDICAL CENTER, COL OF DENTISTRY
Graduated 2008 (18 years in practice)
Group practice Community Medical Associates Inc — 1365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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