Organization Active NPI

Bedry Family Chiropractic Inc PS

  • Chiropractor
  • Bellingham, WA
National Provider Identifier
1073637609
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00002372 Issued in WA
Legal business name
BEDRY FAMILY CHIROPRACTIC INC PS
Practice address
1842 Iron St
Suite B
Bellingham, WA 98225-4646
Phone
(360) 647-0954
Fax
(360) 647-8711
NPI assigned
Mar 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David D. Bedry, D.C.NPI 1265465710
Title
President
Phone
(360) 647-0954

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00002372 WA Primary

Addresses

Primary practice location

1842 Iron St
Suite B
Bellingham, WA 98225-4646

Mailing address

1842 Iron St
Suite B
Bellingham, WA 98225-4646
Phone (360) 647-0954

Other identifiers 1

IdentifierTypeStateIssuer
70884OtherWAL & I

National Provider Directory

National Provider Directory

Locations

1842 Iron St
Ste B
Bellingham, WA 98225
Phone (360) 647-0954

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1073637609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1842 IRON ST",
            "address_2": "SUITE B",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254646",
            "telephone_number": "360-647-0954",
            "fax_number": "360-647-8711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1842 IRON ST",
            "address_2": "SUITE B",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254646",
            "telephone_number": "360-647-0954",
            "fax_number": "360-647-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDRY FAMILY CHIROPRACTIC INC PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEDRY",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-647-0954",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00002372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "70884",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.