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NPI Code Detail

MEDICARE: SAMUEL LENSING BEZOLD D.O.

MEDICARE: SAMUEL LENSING BEZOLD D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085R0202XDiagnostic Radiology PhysicianE-11379AR
2207U00000XNuclear Medicine PhysicianE-11379AR
32085R0202XDiagnostic Radiology PhysicianR7389TX

General Provider Information

NPI Number : 1194068676
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMUEL LENSING BEZOLD D.O.
Provider Business Mailing Address
First Line : 2101 W ARLINGTON BLVD STE 210
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5758
Country : US
Telephone Number : 252-931-7638
Fax Number : 252-931-7694
Provider Business Practice Location Address
First Line : 2101 W ARLINGTON BLVD STE 210
Second Line :
City : GREENVILLE
State : NC
Zip : 27834-5758
Country : US
Telephone Number : 252-931-7638
Fax Number : 252-931-7694
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2013
Last Update Date : 01/21/2026

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Directions to “ SAMUEL LENSING BEZOLD D.O.” Practice Location

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