Active NPI
James Grady Bedenbaugh, D.C.
- Chiropractor
- Gaffney, SC
National Provider Identifier
1194787127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 767
- Practice address
- 212 S Granard St
Gaffney, SC 29341-2347 - Phone
- (864) 487-7194
- Fax
- (864) 487-0180
- NPI assigned
- Apr 5, 2006
- Last updated
- Mar 17, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 767 | SC | Primary |
| Chiropractor | 111N00000X | 3600 | KY |
Addresses
Primary practice location
212 S Granard St
Gaffney, SC 29341-2347
Mailing address
PO Box 43
Gaffney, SC 29342-0043
Phone (864) 487-7194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 767 | SC | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bedenbaugh Chiropractic Clinic, P.a. | Chiropractor | Current | Accepting new patients |
| Buckley Family Chiropractic, LLC | Chiropractor | Current | Accepting new patients |
Locations
212 S Granard St
Gaffney, SC 29341
Phone (864) 487-7194
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Gaffney, SC
- NPI 1255395059
-
- Chiropractor
- Gaffney, SC
- NPI 1790540318
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1194787127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 43",
"city": "GAFFNEY",
"state": "SC",
"postal_code": "293420043",
"telephone_number": "864-487-7194",
"fax_number": "864-487-0180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "212 S GRANARD ST",
"city": "GAFFNEY",
"state": "SC",
"postal_code": "293412347",
"telephone_number": "864-487-7194",
"fax_number": "864-487-0180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDENBAUGH",
"first_name": "JAMES",
"middle_name": "GRADY",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "SC",
"license": "767",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KY",
"license": "3600",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gaffney, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.