JACOB BIDWELL
NPI 1740634161
Pediatrics - Pediatric Critical Care Medicine in Tucson, AZ

Q: What is Jacob Bidwell's NPI number?

The NPI number for Jacob Bidwell is 1740634161. It was assigned to this individual provider in the NPPES registry on April 21, 2016.

Q: What is Jacob Bidwell's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Bidwell was last updated on May 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 21, 2016PECOS Enrolled

5301 E GRANT RD, TUCSON, AZ 85712(520) 327-5461 Get Directions Write a Review

NPPES record last updated: May 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacob Bidwell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACOB BIDWELL (NPI 1740634161) is an individual pediatric critical care medicine provider in Tucson, Arizona, licensed in Arizona (57981) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740634161

Entity TypeIndividualMale

Primary Taxonomy2080P0203X

Provider Legal NameJACOB BIDWELL

Location Address5301 E GRANT RDTucson, AZ 85712-2805

Mailing Address5301 E Grant RdTucson, AZ 85712-2805

Phone(520) 327-5461

Sole ProprietorNo

Enumeration DateApril 21, 2016

Last NPPES UpdateMay 27, 2023

NPPES CertifiedMay 27, 2023

✔ NPI 1740634161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

License✔ Licensed in AZ · 57981

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

5301 E GRANT RD, Tucson, AZ 85712

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob Bidwell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

HOLLY JEANNE GRAHAM M.D.

Anesthesiology

5301 E GRANT RD, THMEP
TUCSON, AZ 85712

Pima County (520) 324-5095

SAMANTHA PENN PHARMD

Pharmacist