Bedside Medical Inc

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

BEDSIDE MEDICAL INC

Practice address

355 E 21St St Ste K
San Bernardino, CA 92404-4851

Phone

(909) 800-3892

NPI assigned

Sep 8, 2022

Organization subpart

No

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

Authorized official

Name

Tyler Miskin, MD

Title

Owner

Phone

(909) 800-3892

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1346961109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 ALVARADO ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923735121",
            "telephone_number": "909-800-3892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 E 21ST ST STE K",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924044851",
            "telephone_number": "909-800-3892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEDSIDE MEDICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "MISKIN",
        "authorized_official_first_name": "TYLER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-800-3892",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belia Becerra, ACSW
• Sandra Becerra
• Vannesa Becerra, PTA
• Leslie Louise Becker, LMFT
• Felicia Nicole Bedford, RN
• Elizabeth Anne Beebee, AMFT #148951
• Melissa Beebee
• Robert Edward Beeman
• Beeman'S Boutique LLC
• Beemans Boutique LLC

• Radiology Clinic/Center in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Radiology Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; 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.