Individual provider Active NPI

Christopher James Bedenbaugh, D.C

  • Chiropractor
  • Gaffney, SC
National Provider Identifier
1215240759
Registry record updated Jul 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC.3586 DC Issued in SC
Practice address
212 S Granard St
Gaffney, SC 29341-2347
Phone
(864) 487-7194
Fax
(864) 487-0180
NPI assigned
Jul 26, 2010
Last updated
Jul 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 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 DC.3586 DC SC Primary

Addresses

Primary practice location

212 S Granard St
Gaffney, SC 29341-2347

Mailing address

212 S Granard St
Gaffney, SC 29341-2347
Phone (864) 487-7194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110908002172 SC Practitioner - Chiropractic 2668642208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Sherman College of Straight Chiropractic, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1463 E Main St a
Spartanburg, SC 29307-2246
Phone (864) 804-6651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DC.3586 DCSCMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Bedenbaugh Chiropractic and Wellness LLC. Chiropractor CurrentSince Feb 18, 2014 Accepting new patients
Bedenbaugh Chiropractic Clinic, P.a. Chiropractor PastSince Mar 11, 1997 Accepting new patients
Buckley Family Chiropractic, LLC Chiropractor PastSince Feb 18, 2024 Accepting new patients

Locations

1463 E Main St
#A
Spartanburg, SC 29307
Phone (864) 804-6651

Organizations & group practices 3

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": "1280102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280102400000",
    "number": "1215240759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": "CHRISTOPHER",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "SC",
            "license": "DC.3586 DC",
            "primary": true
        }
    ],
    "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 Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.