Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Gregory L Hazle, MD

Family Medicine Physician in Grand Rapids, MI · enumerated 2006.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1417995408

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Registry record

Entity type Individual (Type 1)

Name Gregory L Hazle

Credential MD

Sex Male

Practice address 1787 Grand Ridge Ct. Ne, Suite 101, Grand Rapids, MI, 49525

Phone (616) 774-8131

Fax (616) 774-8204

Enumeration date Jun 3, 2006

Last updated in NPPES Dec 8, 2017

Taxonomy & licenses

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 4301057607 (MI) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
900000696	Other	MI	PRIORITY HEALTH
080D17690	Other	MI	BLUE SHIELD
4558584	Other	MI	AETNA
2957048	Medicaid	MI	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Gregory Hazle?

The National Provider Identifier (NPI) for Gregory Hazle is 1417995408, a Type 1 (individual) record in the CMS NPPES registry.

Where does Gregory Hazle practice?

The practice location on file with NPPES is in Grand Rapids, MI. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2017-12-08.