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

Mohamed Bazzi, NP-BC

Individual provider Family Nurse Practitioner · NPI 1043185093

Mohamed Bazzi, NP-BC is a Nurse Practitioner in Detroit, Michigan. Qualified in 2024, 2 years ago. Practices with Mdslivenow PLLC, a 14-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
2
Licensed in
MI
In the registry since
2025

Practice location Address checks out

4100 Woodward Ave
Detroit, MI 48201-2173
Phone: (313) 974-6533
Fax: (313) 974-6713
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4704371169 (MI)

Record details

NPI number1043185093
Entity typeIndividual (Type 1)
GenderMale
Credentials NP-BC
Sole proprietorNo
NPI enumeratedOctober 9, 2025
Last updated in NPPESFebruary 27, 2026
Certification dateFebruary 27, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Mdslivenow Pllc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Detroit