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Domonique Bazile
NPI 1659140655 · Physician Assistant · Detroit, MI
Domonique Bazile is a Physician Assistant provider in Detroit, MI (NPI 1659140655).
Provider details
- NPI number
- 1659140655
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(51/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
18463 Livernois Ave
Detroit, MI 48221-2254
Phone: (313) 369-1500
Fax: (248) 336-9137
Street-level locationGet directions
Mailing address
18000 W 9 Mile Rd Ste 200
Southfield, MI 48075-4020
Registry dates
- Enumerated
- 2024-01-01
- Last updated
- 2025-09-17
- Certified
- 2025-09-17
Frequently asked questions
- What is Domonique Bazile's NPI number?
- Domonique Bazile's National Provider Identifier (NPI) is 1659140655, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Domonique Bazile's specialty?
- Domonique Bazile is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Domonique Bazile located?
- Domonique Bazile's practice location on file with NPPES is 18463 Livernois Ave, Detroit, MI 48221-2254.
- What is Domonique Bazile's phone number?
- The practice phone number listed in the NPPES registry for Domonique Bazile is (313) 369-1500.
- Is Domonique Bazile's NPI active?
- Yes — Domonique Bazile's NPI (1659140655) is active in the NPPES registry as of the last update on 2025-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.