Individual provider Active NPI

Justin T Bedford, FNP

  • Family Nurse Practitioner
  • Columbia, MO
National Provider Identifier
1346590957
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2012029887 Issued in MO
Practice address
4230 Philips Farm Rd
Columbia, MO 65201-0067
Phone
(573) 882-4800
Fax
(573) 884-0723
NPI assigned
Sep 12, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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 2012029887 MO Primary

Addresses

Primary practice location

4230 Philips Farm Rd
Columbia, MO 65201-0067

Mailing address

401 N Keene St
Columbia, MO 65201-6625
Phone (573) 876-1616

Other practice location 1

401 N Keene St
Columbia, MO 65201-6625
Phone (573) 876-1616

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address MUDOCREFERRAL@direct.health.missouri.edu Direct Curators of the University of Missouri

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140124000562 MO Practitioner - Nurse Practitioner 3173751914 Reassigns benefits to 1 organization

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
The Curators of the University of MissouriGroup PAC ID 4486759560, 1,108 clinicians

Practice addresses (Care Compare)

2707 W Edgewood Dr
Suite 101 103
Jefferson City, MO 65109-5888
Phone (573) 761-1830

Hospital & facility affiliations

  • University of Missouri Health Care Hospital, Columbia, MO, CCN 260141

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Curators of the University of Missouri CurrentSince May 22, 2025 Accepting new patients
Curators of the University of Missouri CurrentSince May 22, 2025 Accepting new patients

Locations

401 N Keene St
Columbia, MO 65201
Phone (573) 874-3300

1 Hospital Dr
Columbia, MO 65212
Phone (573) 882-2568

401 N Keene St
Ste B
Columbia, MO 65201

4230 Philips Farm Rd
Columbia, MO 65201
Phone (573) 882-4800

2707 W Edgewood Dr
Ste 101103
Jefferson City, MO 65109
Phone (573) 761-1830

1125 Madison St
Jefferson Cty, MO 65101
Phone (573) 632-5000

300 N Morley St
Moberly, MO 65270
Phone (660) 263-0909

Organizations & group practices 2

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 2

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": "1347408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763942400000",
    "number": "1346590957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N KEENE ST",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652016625",
            "telephone_number": "573-876-1616",
            "fax_number": "876-876-1678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 PHILIPS FARM RD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652010067",
            "telephone_number": "573-882-4800",
            "fax_number": "573-884-0723"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 N Keene St",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652016625",
            "country_code": "US",
            "telephone_number": "573-876-1616",
            "fax_number": "876-876-1678",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDFORD",
        "first_name": "JUSTIN",
        "middle_name": "T",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-09-12",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2012029887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "MUDOCREFERRAL@direct.health.missouri.edu",
            "affiliation": "Y",
            "endpointDescription": "Endpoint is used to receive electronic continuity of care documents (C-CDA) for outpatient referrals",
            "affiliationName": "Curators of the University of Missouri",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct",
            "address_1": "4230 Philips Farm Rd",
            "city": "Columbia",
            "state": "MO",
            "country_code": "US",
            "postal_code": "652010067",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.