John Lloyd Bezzant, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

319 Issued in UT

Practice address

4A330 School of Medicine
Salt Lake City, UT 84132-2409

Phone

(801) 581-6465

Fax

(801) 581-6484

NPI assigned

Sep 23, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dermatology Division University of Utah Medical Center

  • Dermatology Physician
  • Salt Lake City, UT
  • NPI 1922096114
  NPD
• U-U Pediatric Dermatology

  • Pediatric Dermatology Physician
  • Salt Lake City, UT
  • NPI 1235339193
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1730175720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 S MURDOCK DR",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840623271",
            "telephone_number": "801-581-6465",
            "fax_number": "801-581-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4A330 SCHOOL OF MEDICINE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841322409",
            "telephone_number": "801-581-6465",
            "fax_number": "801-581-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZZANT",
        "first_name": "JOHN",
        "middle_name": "LLOYD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IHC",
            "identifier": "107006257102",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larissa Beyerlein, M.D.
• Bowen Beykirch
• Hollie Beynon, CSW
• Beyond Care Services Ut LLC
• Carrie Ann Bezzant, ATC
• Neel D. Bhagat, MD
• Kishan Bhakta
• Roma Bhatia, M.D
• Margi A Bhatt, MD
• Devendra Bhattarai

• Specialist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.