Bedrock Healthcare Systems

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

BEDROCK HEALTHCARE SYSTEMS

Practice address

510 Simmons St
Durham, NC 27701-4334

Phone

(919) 706-9474

NPI assigned

Mar 14, 2015

Last updated

Mar 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Reynold Mullen

Title

Ceo

Phone

(919) 706-9474

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1426291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426291200000",
    "number": "1346633310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SIMMONS ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014334",
            "telephone_number": "919-706-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SIMMONS ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277014334",
            "telephone_number": "919-706-9474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDROCK HEALTHCARE SYSTEMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-14",
        "last_updated": "2015-03-14",
        "status": "A",
        "authorized_official_last_name": "MULLEN",
        "authorized_official_first_name": "REYNOLD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-706-9474"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonelle Claricia Bedford
• Sara Beth Bedgood, MSW, LCSWA
• Abena Bediako, LCSW
• Richard Stanley Bedlack Jr., M.D. PH.D.
• Armando Diego Bedoya, M.D.
• Rachel Frances Beebe, OTR/L
• Franklin Trent Beeninga, MD
• Nicholas Thomas Befera, MD
• Begin Again Family Care Home Two
• Laura Wright Begin, LCSW

• Community/Behavioral Health Agency in Durham, NC
• Providers in Durham, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2015; 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.