# DR. GRADY JUDSON BAZZEL

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1396998241
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101249511 | VA | — |
| 207Q00000X | Family Medicine Physician | 10120A | WY | — |
| 207Q00000X | Family Medicine Physician | 2021-02326 | NC | — |
| 207Q00000X | Family Medicine Physician | 25MA08705100 | NJ | — |
| 207Q00000X | Family Medicine Physician | 268476 | NY | — |
| 207Q00000X | Family Medicine Physician | 31177 | TN | Yes |
| 207Q00000X | Family Medicine Physician | 31199 | OK | — |
| 207Q00000X | Family Medicine Physician | 4301506264 | MI | — |
| 207Q00000X | Family Medicine Physician | 45687 | KY | — |
| 207Q00000X | Family Medicine Physician | 65524 | GA | — |
| 207Q00000X | Family Medicine Physician | C53908 | CA | — |
| 207Q00000X | Family Medicine Physician | E-8263 | AR | — |
| 207Q00000X | Family Medicine Physician | EL201612 | ME | — |
| 207Q00000X | Family Medicine Physician | ME116130 | FL | — |
| 207Q00000X | Family Medicine Physician | T1646 | TX | — |

## Other

- **Enumeration date:** 10/23/2008
- **Last updated:** 05/06/2024