Organization Active NPI

Patricia Bedoya, DPM, PA

  • Foot & Ankle Surgery Podiatrist
  • Boynton Beach, FL
National Provider Identifier
1104181296
Registry record updated Sep 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3458 Issued in FL
Legal business name
PATRICIA BEDOYA, DPM, PA
Practice address
4895 Windward Passage Dr
Suite 7
Boynton Beach, FL 33436-7741
Phone
(561) 369-4455
NPI assigned
Jul 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2013

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

Authorized official

Name
Dr. Patricia Bedoya, DPM
Title
Podiatrist/Owner
Phone
(305) 369-4455

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO3458 FL Primary

Addresses

Primary practice location

4895 Windward Passage Dr
Suite 7
Boynton Beach, FL 33436-7741

Mailing address

4895 Windward Passage Dr
Suite 7
Boynton Beach, FL 33436-7741
Phone (561) 369-4455

National Provider Directory

National Provider Directory

Locations

4895 Windward Passage Dr
Ste 7
Boynton Beach, FL 33436
Phone (561) 369-4455

15300 S Jog Rd
Ste 204
Delray Beach, FL 33446
Phone (561) 265-5424

NPI Registry JSON

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

{
    "created_epoch": "1341446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379894400000",
    "number": "1104181296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4895 WINDWARD PASSAGE DR",
            "address_2": "SUITE 7",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367741",
            "telephone_number": "561-369-4455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 WINDWARD PASSAGE DR",
            "address_2": "SUITE 7",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334367741",
            "telephone_number": "561-369-4455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA BEDOYA, DPM, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-05",
        "last_updated": "2013-09-23",
        "status": "A",
        "authorized_official_last_name": "BEDOYA",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_title_or_position": "PODIATRIST/OWNER",
        "authorized_official_telephone_number": "305-369-4455",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2013; 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.