BAZDO MEDICAL PLLC NPI 1104694306

NPI Information

NPI: 1104694306
Provider Name: BAZDO MEDICAL PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Doing Business As: 24HR LIFELINE MD
CLIA Number: 23D2299732
Address: 12640 E 12 MILE RD
WARREN, MI
ZIP 48093
Phone: (716) 727-8801

Map and Directions

Get Directions

NPI Details

BAZDO MEDICAL PLLC is a family medicine in Warren, MI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BAZDO MEDICAL PLLC NPI is 1104694306. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As 24hr Lifeline Md.

The provider's business location address is:

12640 E 12 MILE RD
WARREN, MI
ZIP 48093-520
Phone: (716) 727-8801

The provider's authorized official is Barry Crawford .
The authorized official title is Owner and has the following contact phone number (586) 588-2027.

The CLIA number assigned to this NPI record is 23D2299732 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 12/18/2023 and was last updated on 3/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	163WG0000X	Registered Nurse	General Practice	No
2	163WW0000X	Registered Nurse	Wound Care	No
3	207Q00000X	Family Medicine		Yes
4	261QF0050X	Clinic/Center	Family Planning, Non-Surgical	No
5	261QP2300X	Clinic/Center	Primary Care	No
6	261QP2400X	Clinic/Center	Prison Health	No
7	261QU0200X	Clinic/Center	Urgent Care	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI

Next NPI