DR. JOHN WILLIAM BODFORD JR. M.D.
NPI 1235558693
Emergency Medicine in Memphis, TN
About Dr. John William Bodford Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN WILLIAM BODFORD JR. M.D. (NPI 1235558693) is an individual emergency medicine provider in Memphis, Tennessee, licensed in Tennessee (56172) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital, and maintains a secondary practice location in Dallas.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John William Bodford Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show John Bodford reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Maysville, KY 41056
- Reassigned Medicare billing, Tennessee enrollment
- 1,071 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Francis Hospital
Acute Care Hospitals · Memphis, TNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 38119 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MEMPHIS, TN 38119
MEMPHIS, TN 38119
MEMPHIS, TN 38119
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Bodford's NPI number?
The NPI number for John Bodford is 1235558693. It was assigned to this individual provider in the NPPES registry on April 14, 2014.
Where is John Bodford located?
John Bodford practices at 5959 Park Ave, Memphis, TN 38119. The listed phone number is (901) 765-1000.
What is John Bodford's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is John Bodford enrolled in Medicare?
Yes. John Bodford is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for John Bodford's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Bodford reassigns Medicare benefits to Southeastern Emergency Physicians LLC (Maysville, KY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Bodford's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is John Bodford affiliated with any hospitals?
According to CMS data, John Bodford is affiliated with St Francis Hospital.
When was this NPI record last updated?
The NPPES record for John Bodford was last updated on October 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. John William Bodford Jr., M.D. · NPI 1235558693
Emergency Medicine physician in Memphis, Tennessee. Individual provider, active in the CMS NPPES registry since April 14, 2014.
## Identity
- **NPI:** 1235558693 (Entity type: Individual)
- **Enumerated:** April 14, 2014
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 56172 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 5959 PARK AVE, Memphis, TN 38119-5200
- **Phone:** (901) 765-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southeastern Emergency Physicians LLC (NPI 1356379382, Maysville, KY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** October 16, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1235558693) · Data from the CMS NPPES public registry.