Bedford Medical Associates

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

J3990 Issued in TX

Legal business name

BEDFORD MEDICAL ASSOCIATES

Practice address

1305 Airport Fwy
Ste 421
Bedford, TX 76021-6605

Phone

(817) 685-6191

Fax

(817) 685-7133

NPI assigned

Nov 16, 2007

Last updated

Nov 16, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Joan Elizabeth Wilson

Title

Office Manager

Phone

(817) 685-6191

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195171200000",
    "number": "1265613319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY STE 421",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216608",
            "telephone_number": "817-685-6191",
            "fax_number": "817-685-7133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY",
            "address_2": "STE 421",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216605",
            "telephone_number": "817-685-6191",
            "fax_number": "817-685-7133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDFORD MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-16",
        "last_updated": "2007-11-16",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "JOAN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-685-6191",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J3990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bedford Endocrinology PLLC (Endocrine Associates of Mid-Cities)
• Bedford Eyecare, P.a. (First Eye Care Bedford)
• Bedford Family Medicine, PA
• Bedford Gardens Limited Partnership (Eden Estates)
• Bedford Interventional Pain Center, LLC
• Bedford Operations, LLC (Elmcroft of Bedford)
• Bedford Pharmacy LLC (Bedford Pharmacy)
• Bedford Surgery Center LLC
• Ryan T Beelman, D.M.D.
• Dharanipriya Beeneedi, MD

• Internal Medicine Physician in Bedford, TX
• Providers in Bedford, TX by specialty
• Internal Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.

Verify at the official NPI Registry.