Individual provider Active NPI

James Grady Bedenbaugh, D.C.

  • Chiropractor
  • Gaffney, SC
National Provider Identifier
1194787127
Registry record updated Mar 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
767 Issued in SC
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
I20120417000532 SC Practitioner - Chiropractic 1153582226 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
767SCMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bedenbaugh Chiropractic Clinic, P.a. Chiropractor CurrentSince Mar 11, 1997 Accepting new patients
Buckley Family Chiropractic, LLC Chiropractor CurrentSince Feb 18, 2024 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.

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.

Verify at the official NPI Registry.