JACOB ANTHONY BEZOLD MD NPI 1821651282

NPI Information

  • NPI: 1821651282
  • Provider Name: JACOB ANTHONY BEZOLD, MD
  • Classification: Internal Medicine - 207RA0401X
  • Specialization: Addiction Medicine
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1200 PEABODY AVE
    MEMPHIS, TN
    ZIP 38104
  • Phone: (901) 707-6861

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NPI Details

Jacob Anthony Bezold, MD is an addiction medicine internal medicine in Memphis, TN with 7 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of addiction disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Added Qualifications in the field of Addiction Medicine. Jacob Anthony Bezold, MD NPI is 1821651282. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: INDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2019

The provider's business location address is:

1200 PEABODY AVE
MEMPHIS, TN
ZIP 38104-506
Phone: (901) 707-6861
Fax: (901) 805-6300

The NPI 1821651282 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2019 and was last updated on 11/13/2025.

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 License Number License State Primary
1207RA0401XInternal MedicineAddiction Medicine67663TENNESSEEYes
2208M00000XHospitalist67663TENNESSEENo
3207R00000XInternal Medicine67663TENNESSEENo

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

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