Individual provider Active NPI

Robert L Bedford, D.C.

  • Chiropractor
  • Carrollton, TX
National Provider Identifier
1326076092
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
9141 Issued in TX
Practice address
3020 E Hebron Pkwy
Ste 200
Carrollton, TX 75010-4457
Phone
(972) 820-0425
Fax
(972) 662-4411
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 9141 TX Primary

Addresses

Primary practice location

3020 E Hebron Pkwy
Ste 200
Carrollton, TX 75010-4457

Mailing address

3020 E Hebron Pkwy Ste 200
Carrollton, TX 75010-4457
Phone (972) 820-0425

Other practice location 1

2701 Old Denton Rd Ste 184
Carrollton, TX 75007-5187
Phone (214) 483-3300

Other identifiers 1

IdentifierTypeStateIssuer
9141OtherTXCHIROPRACTIC LICENSE

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL drbedford@aol.com Health Information Exchange (HIE)
Other URL drbedford@aol.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070126000262 TX Practitioner - Chiropractic 6305847823 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3020 E Hebron Pkwy
Suite 200
Carrollton, TX 75010-4457
Phone (972) 820-0425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Chiropractic & Rehabilitation Clinic Chiropractor CurrentSince Dec 1, 2005 Accepting new patients

Locations

2701 Old Denton Rd
Ste 184
Carrollton, TX 75007
Phone (214) 483-3300

3020 E Hebron Pkwy
Ste 200
Carrollton, TX 75010
Phone (972) 820-0425

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1326076092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 E HEBRON PKWY STE 200",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104457",
            "telephone_number": "972-820-0425",
            "fax_number": "972-662-4411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 E HEBRON PKWY",
            "address_2": "STE 200",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104457",
            "telephone_number": "972-820-0425",
            "fax_number": "972-662-4411"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2701 Old Denton Rd Ste 184",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750075187",
            "country_code": "US",
            "telephone_number": "214-483-3300",
            "fax_number": "972-662-4411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDFORD",
        "first_name": "ROBERT",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "9141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHIROPRACTIC LICENSE",
            "identifier": "9141",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drbedford@aol.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "3020 E HEBRON PKWY",
            "address_2": "STE 200",
            "city": "CARROLLTON",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750104457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "drbedford@aol.com",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "address_1": "3020 E HEBRON PKWY",
            "address_2": "STE 200",
            "city": "CARROLLTON",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750104457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.