Organization Active NPI

Vanguard Med PLLC

  • Internal Medicine Physician
  • Ormond Beach, FL
National Provider Identifier
1043130164
Registry record updated Jul 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VANGUARD MED PLLC
Practice address
5 Circle Oaks TRL
Ormond Beach, FL 32174-4949
Phone
(703) 317-7065
NPI assigned
Jul 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2026

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

Authorized official

Name
Dr. Eugene Vitaly Bednov, MD
Title
Owner
Phone
(703) 317-7065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

5 Circle Oaks TRL
Ormond Beach, FL 32174-4949

Mailing address

5 Circle Oaks TRL
Ormond Beach, FL 32174-4949
Phone (703) 317-7065

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1784332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784332800000",
    "number": "1043130164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CIRCLE OAKS TRL",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744949",
            "telephone_number": "703-317-7065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CIRCLE OAKS TRL",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321744949",
            "telephone_number": "703-317-7065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANGUARD MED PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-18",
        "last_updated": "2026-07-18",
        "certification_date": "2026-07-18",
        "status": "A",
        "authorized_official_last_name": "BEDNOV",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "VITALY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "703-317-7065",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ormond Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2026; 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.