Individual provider Active NPI

Vincent Angelo Bedami Jr., DC

  • Chiropractor
  • Dunedin, FL
National Provider Identifier
1376300327
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
14927 Issued in FL
Practice address
1075 Main St
Dunedin, FL 34698-5226
Phone
(727) 733-9368
NPI assigned
Mar 5, 2024
Last updated
Mar 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 14927 FL Primary

Addresses

Primary practice location

1075 Main St
Dunedin, FL 34698-5226

Mailing address

6955 80TH Ave N
Pinellas Park, FL 33781-2018
Phone (727) 410-8680

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240822004758 FL Practitioner - Chiropractic 8820537731 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abundance Chiropractic LLCGroup PAC ID 8426486580, 2 clinicians

Practice addresses (Care Compare)

4431 Park Blvd N
Pinellas Park, FL 33781-3540
Phone (727) 201-2271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14927FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
SCC LLC Chiropractor PastSince Mar 12, 2024 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1376300327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6955 80TH AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337812018",
            "telephone_number": "727-410-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 MAIN ST",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346985226",
            "telephone_number": "727-733-9368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDAMI",
        "first_name": "VINCENT",
        "middle_name": "ANGELO",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "14927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.