Individual provider Active NPI

David Allen Bedell, LSA, RN, CNOR, RNFA

  • Registered Nurse First Assistant
  • Sugar Land, TX
National Provider Identifier
1235321076
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
719669 Issued in TX
Practice address
1 Sugar Creek Center Blvd Ste 618
Sugar Land, TX 77478-3540
Phone
(832) 655-4141
Fax
(713) 457-5188
NPI assigned
Aug 15, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 719669 TX
Surgical Assistant 246ZC0007X 17-208 TX
Registered Nurse First Assistant 163WR0006X 719669 TX Primary

Addresses

Primary practice location

1 Sugar Creek Center Blvd Ste 618
Sugar Land, TX 77478-3540

Mailing address

1 Sugar Creek Center Blvd Ste 618
Sugar Land, TX 77478-3540
Phone (832) 655-4141

Other identifiers 6

IdentifierTypeStateIssuer
719669OtherTXTEXAS BOARD OF NURSING
8117NGOtherTXBCBS - UNIVERSAL SURGICAL ASSISTANTS, INC.
SA00621OtherTXTEXAS MEDICAL BOARD
8127NGOtherTXBCBS - XCITE SURGICAL
17-208OtherTXABSA
8116NGOtherTXBCBS - UNIVERSAL SURGICAL PARTNERS, INC.

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
719669TXMDRegistered Nurse First Assistant
17-208TXMDSurgical Assistant

NPI Registry JSON

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

{
    "created_epoch": "1187136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1235321076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SUGAR CREEK CENTER BLVD STE 618",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783540",
            "telephone_number": "832-655-4141",
            "fax_number": "713-457-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 SUGAR CREEK CENTER BLVD STE 618",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774783540",
            "telephone_number": "832-655-4141",
            "fax_number": "713-457-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDELL",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Mr.",
        "credential": "LSA, RN, CNOR, RNFA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "719669",
            "primary": false
        },
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "17-208",
            "primary": false
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "TX",
            "license": "719669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "719669",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - UNIVERSAL SURGICAL ASSISTANTS, INC.",
            "identifier": "8117NG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "SA00621",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - XCITE SURGICAL",
            "identifier": "8127NG",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABSA",
            "identifier": "17-208",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS - UNIVERSAL SURGICAL PARTNERS, INC.",
            "identifier": "8116NG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.