Sarah J Bizzell, DO

Individual provider Active NPI Emergency Medicine Physician · Fort Campbell, KY

NPI 1609457209 · NPPES record last updated Aug 31, 2026

Key facts

NPI
1609457209
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
2025-02728 (NC)
Practice address
650 Joel Dr
Fort Campbell, KY 42223-8355
Phone
(270) 798-8400
NPI assigned
Apr 16, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20210715004226 NC Order and Referring Only - Emergency Medicine
Practitioner - Emergency Medicine
4880096676

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2025-02728NCMDEmergency Medicine Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2025-02728 NC Yes

Addresses

Primary practice location

650 Joel Dr
Fort Campbell, KY 42223-8355

Mailing address

650 Joel Dr
Fort Campbell, KY 42223-8355
Phone (270) 798-8400

Other providers in Fort Campbell, KY

All providers in Fort Campbell, KY · Emergency Medicine Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.