Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. John William Bodford Jr., MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235558693

Dr. John William Bodford Jr., MD is an Emergency Medicine in Memphis, Tennessee. Qualified in 2014, 12 years ago. Practices with Southeastern Emergency Physicians LLC, a 786-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
12
Licensed in
TN
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5959 Park Ave
Memphis, TN 38119-5200
Phone: (901) 765-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 5201 Harry Hines Blvd, Dallas, TX 75235-7708 — (214) 590-8058

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 56172 (TN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1235558693
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 14, 2014
Last updated in NPPESOctober 16, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Southeastern Emergency Physicians Llc — 786 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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