Active NPI
David D Bedry, D.C.
- Chiropractor
- Bellingham, WA
National Provider Identifier
1265465710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- WS2372
- Practice address
- 1842 Iron St
Suite B
Bellingham, WA 98225-4646 - Phone
- (360) 647-0954
- Fax
- (360) 647-8711
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | WS2372 | WA | Primary |
Addresses
Primary practice location
1842 Iron St
Suite B
Bellingham, WA 98225-4646
Mailing address
1842 Iron St
Suite B
Bellingham, WA 98225-4646
Phone (360) 647-0954
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 70884 | Other | WA | LABOR & INDURSTRIES DEPT |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WS2372 | WA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bedry Family Chiropractic Inc PS | Chiropractor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Chiropractor
- Bellingham, WA
- NPI 1073637609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1265465710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1842 IRON ST",
"address_2": "SUITE B",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254646",
"telephone_number": "360-647-0954",
"fax_number": "360-647-8711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1842 IRON ST",
"address_2": "SUITE B",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982254646",
"telephone_number": "360-647-0954",
"fax_number": "360-647-8711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDRY",
"first_name": "DAVID",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "WS2372",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDURSTRIES DEPT",
"identifier": "70884",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.