NPI 1609031202 · live from the CMS NPI Registry
Nickole Bazger, D.O.
Obstetrics & Gynecology, Reproductive Endocrinology in Grosse Pointe, MI. National Provider Identifier 1609031202, active.
NPI record
| NPI | 1609031202 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Obstetrics & Gynecology, Reproductive Endocrinology 207VE0102X |
| Practice location | 18080 Mack Avenue, Grosse Pointe, MI 48230 |
| Practice phone | 313-499-8368 |
| Mailing address | 18080 Mack Ave, Grosse Pointe, MI 48230 |
| Enumerated | July 23, 2008 |
| Last updated | December 9, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Obstetrics & Gynecology | 207V00000X | MED-PHYS-LIC-127437 (MT) |
| Obstetrics & Gynecology | 207V00000X | 5101020175 (MI) |
| Obstetrics & Gynecology, Reproductive Endocrinology primary | 207VE0102X | 5101020175 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.