Marshall D. Bedder, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

83482 Issued in GA

Practice address

1120 15TH St
Augusta, GA 30912-5626

Phone

(706) 721-3813

NPI assigned

Oct 14, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA, NJ2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Au Medical Associates Inc

  • Multi-Specialty Clinic/Center
  • Augusta, GA
  • NPI 1841230620
  Medicare reassignment NPD
• Omega Physicians LLC

  • Internal Medicine Physician
  • Medford, NJ
  • NPI 1629653563
  Medicare reassignment NPD
• Au Medical Associates Inc

  dba Augusta University Health West Wheeler

  • Durable Medical Equipment & Medical Supplies
  • Augusta, GA
  • NPI 1114574126
  NPD
• Wellstar Medical Group, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, GA
  • NPI 1275992240
  NPD
• Wellstar Medical Group, LLC

  dba WellStar Family Medicine ACW

  • Family Medicine Physician
  • Kennesaw, GA
  • NPI 1558664003
  NPD
• International Center for Advanced Spine and Orthopedic Surgery LLC

  • Medical Specialty Clinic/Center
  • Bradenton, FL
  • NPI 1942498241
  NPD (past)
• Pinnicale Pain Center

  • Medical Physician Assistant
  • Kennewick, WA
  • NPI 1184171290
  NPD (past)
• Providence Wa Anesthesia Services, P.C.

  • Anesthesiology Physician
  • Everett, WA
  • NPI 1669615894
  NPD (past)
• Sports and Spine

  • Clinic/Center
  • Bellevue, WA
  • NPI 1598255903
  NPD (past)
• Thomas M Sweeney II M D PH D P a

  dba Southeastern Spine Center & Research Institute

  • Orthopaedic Surgery of the Spine Physician
  • Sarasota, FL
  • NPI 1700891637
  NPD (past)

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1013906833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 15TH ST",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309125626",
            "telephone_number": "706-721-3813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3305 Nassau St",
            "address_purpose": "LOCATION",
            "city": "Everett",
            "state": "WA",
            "postal_code": "982014140",
            "country_code": "US",
            "telephone_number": "425-774-1538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "21616 76th Ave W Ste 102",
            "address_purpose": "LOCATION",
            "city": "Edmonds",
            "state": "WA",
            "postal_code": "980267512",
            "country_code": "US",
            "telephone_number": "425-774-1538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 116th Ave NE Ste 110",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043052",
            "country_code": "US",
            "telephone_number": "425-774-1538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1900 116th Ave NE Ste 201",
            "address_purpose": "LOCATION",
            "city": "Bellevue",
            "state": "WA",
            "postal_code": "980043013",
            "country_code": "US",
            "telephone_number": "425-774-1538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1412 SW 43rd St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980574803",
            "country_code": "US",
            "telephone_number": "425-774-1538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1408 3rd St SE Ste 100",
            "address_purpose": "LOCATION",
            "city": "Puyallup",
            "state": "WA",
            "postal_code": "983723702",
            "country_code": "US",
            "telephone_number": "425-774-1538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1628 S Mildred St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Tacoma",
            "state": "WA",
            "postal_code": "984651628",
            "country_code": "US",
            "telephone_number": "206-538-6300",
            "fax_number": "206-538-6301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 SW 16th St Ste 121",
            "address_purpose": "LOCATION",
            "city": "Renton",
            "state": "WA",
            "postal_code": "980572628",
            "country_code": "US",
            "telephone_number": "206-538-6300",
            "fax_number": "206-538-6301",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1321 Interstate Pkwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309095626",
            "country_code": "US",
            "telephone_number": "706-738-7246",
            "fax_number": "706-738-7248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDDER",
        "first_name": "MARSHALL",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-14",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "83482",
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "GA",
            "license": "83482",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD60035970",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "83482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2001447",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8541336",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Beazley, PT
• Anna Mae Beck
• Dan Felder Beckman II, PT
• Elizabeth C Becton, M.D.
• James Louis Becton Jr., MD
• Cristy H. Beddingfield, PA-C
• David Lee Bedford
• Reddy Beesam Shashank, M.D.
• Timothy N Beeson, MD
• Amanda Behr, MA, CMI, CCA

• Psychiatry Physician in Augusta, GA
• Providers in Augusta, GA by specialty
• Psychiatry Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.