Individual provider Active NPI

Gregory M. Bedesem, DC

  • Chiropractor
  • Akron, PA
National Provider Identifier
1093022410
Registry record updated Sep 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC002899L Issued in PA
Practice address
240 N 7TH St
Akron, PA 17501-1361
Phone
(717) 859-1099
Fax
(717) 859-1052
NPI assigned
Sep 7, 2010
Last updated
Sep 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC002899L PA Primary

Addresses

Primary practice location

240 N 7TH St
Akron, PA 17501-1361

Mailing address

240 N 7TH St
Akron, PA 17501-1361
Phone (717) 859-1099

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1093022410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N 7TH ST",
            "city": "AKRON",
            "state": "PA",
            "postal_code": "175011361",
            "telephone_number": "717-859-1099",
            "fax_number": "717-859-1052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 N 7TH ST",
            "city": "AKRON",
            "state": "PA",
            "postal_code": "175011361",
            "telephone_number": "717-859-1099",
            "fax_number": "717-859-1052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDESEM",
        "first_name": "GREGORY",
        "middle_name": "M.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-07",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC002899L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2010; 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.