Kevin R Bedell, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101040494 Issued in VA

Practice address

4622 Rochambeau Dr
Williamsburg, VA 23188-7114

Phone

(757) 566-4246

Fax

(757) 566-4246

NPI assigned

Mar 30, 2006

Last updated

Sep 26, 2012By the provider in NPPES

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Bruce Mayer, MD PC

  dba bruce mayer md

  • Family Medicine Physician
  • Williamsburg, VA
  • NPI 1982620357
  NPD (past)

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

{
    "created_epoch": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348617600000",
    "number": "1275594236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4622 ROCHAMBEAU DRIVE",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "23188",
            "telephone_number": "757-566-4246",
            "fax_number": "757-566-4248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4622 ROCHAMBEAU DR",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887114",
            "telephone_number": "757-566-4246",
            "fax_number": "757-566-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDELL",
        "first_name": "KEVIN",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2012-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101040494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "356140",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6055354",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amanda Leigh Beavers, M.S. CCC-SLP
• Elsa Ileana Beck, LPC
• Teresa Beck, MS, CCC-SLP
• Christina Beckett
• Karla D. Beckman, NURSE PRACTITIONER
• Carl J Beffa, LCSW
• Behavioral Arts, LLC
• Behavioral Health Field, Inc
• Kristina Belanger, FNP-C
• Thomas Lyndon Bell, LPTA

• Internal Medicine Physician in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2012; 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.