Individual provider Active NPI

Alysia Mae Bedgood, M.D.

  • Family Medicine Physician
  • Kyle, TX
National Provider Identifier
1265660724
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N9171 Issued in TX
Practice address
115 Kohlers Xing Ste 200
Kyle, TX 78640-2461
Phone
(512) 413-1402
Fax
(866) 358-3313
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Other, 2008
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Total MD Physicians Group, PLLC 127 clinicians

Practice addresses (Care Compare)

115 Kohlers Xing
Suite 200
Kyle, TX 78640-2461
Phone (512) 300-0970

489 Agnes St
Suite 114
Bastrop, TX 78602-2157
Phone (512) 318-2570

Hospital & facility affiliations

  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Lakeway, TX, CCN 673058

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130911000400 TX Practitioner - Family PracticePractitioner - Orthopedic SurgeryPractitioner - Sports Medicine 5496999500 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-44808IAMDFamily Medicine Physician
036144190ILMDFamily Medicine Physician
64220MNMDFamily Medicine Physician
2018026857MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Well Made Body Current Accepting new patients
Total MD Physicians Group, PLLC Family Medicine CurrentSince Aug 1, 2023 Accepting new patients
Inertia Sports and Family Medicine, PLLC Family Medicine CurrentSince Mar 7, 2017 Accepting new patients

Locations

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

11005 Burnet Rd
Ste 118
Austin, TX 78758
Phone (512) 229-1535

823 Congress Ave
Ste 125
Austin, TX 78701
Phone (512) 229-1533

5800 W Slaughter Ln
Ste 310
Austin, TX 78749
Phone (737) 208-1188

4301 W William Cannon Dr
#300
Austin, TX 78749
Phone (512) 222-8868

2701 S Congress Ave
Austin, TX 78704
Phone (512) 759-8385

489 Agnes St
Ste 114
Bastrop, TX 78602
Phone (512) 318-2570

12717 Shops Pkwy
Ste 500
Bee Cave, TX 78738
Phone (512) 222-8667

1300 Dacy Ln
Ste 160
Kyle, TX 78640
Phone (512) 300-0970

197 Republic Dr
Ste 104
Kyle, TX 78640

115 Kohlers Xing
Ste 200
Kyle, TX 78640
Phone (512) 300-0970

603 Louis Henna Blvd
Ste B140
Round Rock, TX 78664
Phone (512) 200-2269

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GIIIBD/Endpoint/GIIIBD

Specialties & licenses 6

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2018026857 MO
Family Medicine Physician 207Q00000X 036144190 IL
Family Medicine Physician 207Q00000X 64220 MN
Family Medicine Physician 207Q00000X MD-44808 IA
Sports Medicine (Family Medicine) Physician 207QS0010X N9171 TX
Family Medicine Physician 207Q00000X N9171 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

115 Kohlers Xing Ste 200
Kyle, TX 78640-2461

Mailing address

115 Kohlers Xing Ste 200
Kyle, TX 78640-2461
Phone (512) 300-0970

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 13, 2019.

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1265660724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 KOHLERS XING STE 200",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402461",
            "telephone_number": "512-300-0970",
            "fax_number": "866-358-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KOHLERS XING STE 200",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402461",
            "telephone_number": "512-413-1402",
            "fax_number": "866-358-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDGOOD",
        "first_name": "ALYSIA",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2018026857",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036144190",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "64220",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-44808",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "N9171",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N9171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kyle, TX

Sources for this page

Verify at the official NPI Registry.