Active NPI
Marian N Bedford
- Family Nurse Practitioner
- Punta Gorda, FL
National Provider Identifier
1104033190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP 9258071
- Practice address
- 315 E Olympia Ave
Suite 111
Punta Gorda, FL 33950-3833 - Phone
- (941) 639-1640
- Fax
- (941) 637-9808
- NPI assigned
- May 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP 9258071 | FL | Primary |
Addresses
Primary practice location
315 E Olympia Ave
Suite 111
Punta Gorda, FL 33950-3833
Mailing address
315 E Olympia Ave
Suite 111
Punta Gorda, FL 33950-3833
Phone (941) 639-1640
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9258071 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226361600000",
"number": "1104033190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 E OLYMPIA AVE",
"address_2": "SUITE 111",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339503833",
"telephone_number": "941-639-1640",
"fax_number": "941-637-9808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 E OLYMPIA AVE",
"address_2": "SUITE 111",
"city": "PUNTA GORDA",
"state": "FL",
"postal_code": "339503833",
"telephone_number": "941-639-1640",
"fax_number": "941-637-9808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDFORD",
"first_name": "MARIAN",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2008-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP 9258071",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Punta Gorda, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.