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

Roniphael Bazile

Individual provider Athletic Trainer · NPI 1174295968

Roniphael Bazile is an Athletic Trainer in Brockton, Massachusetts. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

24 Angerer Ave
Brockton, MA 02302-1034
Phone: (857) 800-6112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Athletic Trainer (primary) Taxonomy 2255A2300X

Record details

NPI number1174295968
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 30, 2021
Last updated in NPPESSeptember 30, 2021
Certification dateSeptember 30, 2021
Mailing address24 Angerer Ave, Brockton, MA 02302-1034

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