NPIMap

Individual provider Active NPI

Robin Shirley Bedgood, NP

  • Family Nurse Practitioner
  • Dequincy, LA
National Provider Identifier
1336490986
Registry record updated Aug 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP6978 Issued in LA
Practice address
140 W 4TH St
Dequincy, LA 70633-3508
Phone
(337) 786-5007
Fax
(337) 786-5009
NPI assigned
Sep 23, 2012
Last updated
Aug 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP6978 LA Primary

Addresses

Primary practice location

140 W 4TH St
Dequincy, LA 70633-3508

Mailing address

140 W 4TH St
Dequincy, LA 70633-3508
Phone (337) 786-5007

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121221000029 LA Practitioner - Nurse Practitioner 3779735741 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beauregard Medical Group LLCGroup PAC ID 8729356456, 2 clinicians

Practice addresses (Care Compare)

12186 Hwy 171
Longville, LA 70652-4625
Phone (337) 405-7778

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP6978LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Chadha Medical Clinic CurrentSince Apr 1, 2016 Accepting new patients
Calcasieu Urgent Care, LLC CurrentSince Sep 20, 2018 Accepting new patients
Calcasieu Urgent Care LLC CurrentSince Sep 20, 2018 Accepting new patients
Health Clinic of Moss Bluff, LLC CurrentSince Apr 1, 2016 Accepting new patients
Beauregard Medical Group LLC Family CurrentSince Jul 2, 2019 Accepting new patients

Locations

140 W 4th St
Dequincy, LA 70633
Phone (337) 786-5007

2640 Country Club Rd
Ste 400
Lake Charles, LA 70605
Phone (337) 426-0919

12186 Highway 171
Longville, LA 70652
Phone (337) 405-7778

237 Sam Houston Jones Pkwy
Moss Bluff, LA 70611
Phone (337) 855-3438

242 Sam Houston Jones Pkwy
Moss Bluff, LA 70611
Phone (337) 905-4000

1429 Beglis Pkwy
Sulphur, LA 70663
Phone (337) 528-8000

Organizations & group practices 5

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.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1348358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470873600000",
    "number": "1336490986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 4TH ST",
            "city": "DEQUINCY",
            "state": "LA",
            "postal_code": "706333508",
            "telephone_number": "337-786-5007",
            "fax_number": "337-786-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W 4TH ST",
            "city": "DEQUINCY",
            "state": "LA",
            "postal_code": "706333508",
            "telephone_number": "337-786-5007",
            "fax_number": "337-786-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDGOOD",
        "first_name": "ROBIN",
        "middle_name": "SHIRLEY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-23",
        "last_updated": "2016-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP6978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dequincy, LA

Sources for this page

Verify at the official NPI Registry.