Ronald Melvin Bedford Jr., NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

21299 Issued in CA

Practice address

5000 N Harbor Dr
Ste 200
San Diego, CA 92106-2386

Phone

(760) 847-7948

NPI assigned

Sep 14, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles (1 of 2)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: rbedford@directaddress.net
• Direct secure messaging: ronald.bedfordjr.p1@direct.lakeside.nextgenshare.com
• Direct secure messaging: ronald.bedford.p1@direct.cmcentersinc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hayes B. Gladstone, MD, PC.

  • Dermatology Physician
  • Danville, CA
  • NPI 1376947978

  CA

  Medicare reassignment NPD

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

{
    "created_epoch": "1315958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1255613402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 N HARBOR DR STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062386",
            "telephone_number": "760-472-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 N HARBOR DR",
            "address_2": "STE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921062386",
            "telephone_number": "760-847-7948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDFORD",
        "first_name": "RONALD",
        "middle_name": "MELVIN",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-09-14",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khaled Mahmoud Safwat Bedair
• Manuel John Bedard, CATC
• Raymond Lee Bedard, IDC
• Sandra K Beddor, D.C.
• Kalyn Mercedes Bedel, IDC
• Karina L Bedolla, MFT
• Kathryn Bedor
• Esther Bedoy, BA
• Adriana A. Bedoya, MD
• Margaret Bedrosian, LCSW

• All providers in San Diego, CA
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.