Kevin W. Bedwell, PA-C

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

C0002316 Issued in MD

Practice address

2012 S Tollgate Rd Ste 207
Bel Air, MD 21015-5902

Phone

(443) 371-9750

Fax

(443) 371-9751

NPI assigned

Jul 20, 2006

Last updated

Nov 9, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Choice Pain & Rehabilitation Center, LLC

  • Physical Medicine & Rehabilitation Physician
  • Lanham, MD
  • NPI 1568809598

  DC

  Medicare reassignment
• Sinai Hospital of Baltimore Inc

  • Surgical Critical Care Physician
  • Baltimore, MD
  • NPI 1043235666
  Medicare reassignment
• Wellspring Clinic LLC

  • Physical Medicine & Rehabilitation Physician
  • Bel Air, MD
  • NPI 1831443787
  Medicare reassignment
• MNR Industries, LLC

  • Urgent Care Clinic/Center
  • Bel Air, MD
  • NPI 1649089418
  NPD
• MNR Industries,LLC

  dba ExpressCare of Loch Raven

  • Urgent Care Clinic/Center
  • Towson, MD
  • NPI 1598118168
  NPD
• Sinai Hospital of Baltimore Inc

  • Orthopaedic Surgery Physician
  • Baltimore, MD
  • NPI 1376568998
  NPD
• Sinai Hospital of Baltimore, Inc.

  • General Acute Care Hospital
  • Baltimore, MD
  • NPI 1285672204
  NPD
• MNR Industries LLC

  dba ExpressCare of Mount Airy

  • Urgent Care Clinic/Center
  • Mount Airy, MD
  • NPI 1073963146
  NPD (past)

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1245250398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 S TOLLGATE RD STE 207",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155902",
            "telephone_number": "443-371-9750",
            "fax_number": "443-371-9751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 S TOLLGATE RD STE 207",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210155902",
            "telephone_number": "443-371-9750",
            "fax_number": "443-371-9751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDWELL",
        "first_name": "KEVIN",
        "middle_name": "W.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "MD",
            "license": "C0002316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "104752",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bayside Counseling, LLC
• Beaudry Psychological Services, L.L.C.
• Jacqueline Beaudry
• Stefanie Lea Bechtel, MS,CCC-SLP
• Matthew Joseph Beck, PT, DPT
• Jasmina Begollari, CRNP-PMH
• Joanna Marie Beitzel, DNP
• Bel Air Behavioral Services
• Bel Air Center for Plastic and Hand Surgery
• Bel Air Center for Plastic and Hand Surgery

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Bel Air, MD
• Providers in Bel Air, MD by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.