JACOB ANTHONY BEZOLD MD
NPI 1821651282
Internal Medicine - Addiction Medicine in Memphis, TN

Q: What is Jacob Bezold's NPI number?

The NPI number for Jacob Bezold is 1821651282. It was assigned to this individual provider in the NPPES registry on April 20, 2019.

Q: What is Jacob Bezold's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Addiction Medicine, with taxonomy code 207RA0401X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Bezold was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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 20, 2019PECOS EnrolledAccepts Medicare Assignment

1200 PEABODY AVE, MEMPHIS, TN 38104(901) 707-6861(901) 805-6300 Get Directions Write a Review

NPPES record last updated: November 13, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 13, 2025, Sep 23, 2024, Jul 20, 2023 and 1 more (4 updates tracked since 2019).

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About Jacob Anthony Bezold Md NPPES

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

JACOB ANTHONY BEZOLD MD (NPI 1821651282) is an individual addiction medicine provider in Memphis, Tennessee, licensed in Tennessee (67663) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Baptist Memorial Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1821651282

Entity TypeIndividualMale

Primary Taxonomy207RA0401X

Provider Legal NameJACOB ANTHONY BEZOLDCredential: MD

Location Address1200 PEABODY AVEMemphis, TN 38104-4506

Mailing Address1200 Peabody AveMemphis, TN 38104-4506 · Fax (901) 805-6300

Phone(901) 707-6861

Fax(901) 805-6300

Sole ProprietorYes

Medical School CMSIndiana University School Of MedicineGraduated 2019

Enumeration DateApril 20, 2019

Last NPPES UpdateNovember 13, 20254 updates tracked since enumeration

NPPES CertifiedNovember 13, 2025

✔ NPI 1821651282 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Addiction MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207RA0401X

License✔ Licensed in TN · 67663

Definition

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 67663 (TN)

Also ListedHospitalistTaxonomy 208M00000X · License 67663 (TN)

1200 PEABODY AVE, Memphis, TN 38104

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Secondary Practice Locations 2

Location 11300 Wesley DrMemphis, TN 38116-6426 · Phone (901) 516-5741 · Fax (901) 516-5986

Location 21265 Union AveMemphis, TN 38104-3415 · Phone (901) 516-2362 · Fax (901) 516-8254

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacob Anthony Bezold Md 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.

PECOS PAC ID7113251745

PECOS Enrollment IDI20240731002367, I20251028000037

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Memorial Hospital

Acute Care Hospitals · Memphis, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440048

Location6019 Walnut Grove RoadMemphis, TN 38120 · Shelby County

Emergency services Birthing friendly

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number440049

Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SANDRA BRAZZELL LMSW

Social Worker