Individual provider Active NPI

James J. Bedocs, D.M.

  • Mechanotherapist
  • Elyria, OH
National Provider Identifier
1376637082
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
3238 Issued in OH
Practice address
2106 N. Ridge Road
Elyria, OH 44035
Phone
(440) 324-2637
Fax
(440) 277-6743
NPI assigned
Oct 3, 2006
Last updated
Jul 19, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 3238 OH Primary

Addresses

Primary practice location

2106 N. Ridge Road
Elyria, OH 44035

Mailing address

2106 N. Ridge Road
Elyria, OH 44035
Phone (440) 324-2637

Other identifiers 1

IdentifierTypeStateIssuer
0214539MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3238OHMDOptometrist

Organizations & group practices 1

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1376637082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 N. RIDGE ROAD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "44035",
            "telephone_number": "440-324-2637",
            "fax_number": "440-277-6743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 N. RIDGE ROAD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "44035",
            "telephone_number": "440-324-2637",
            "fax_number": "440-277-6743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDOCS",
        "first_name": "JAMES",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "OH",
            "license": "3238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0214539",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; 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.