Individual provider Active NPI

Joseph T Bednarek, M.D.

  • Family Medicine Physician
  • Denver, CO
National Provider Identifier
1386795029
Registry record updated Jul 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
29097 Issued in CO
Practice address
4500 W. 38TH Ave.
Suite 220
Denver, CO 80212-2107
Phone
(303) 420-1297
Fax
(303) 420-2953
NPI assigned
Jan 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 29097 CO Primary

Addresses

Primary practice location

4500 W. 38TH Ave.
Suite 220
Denver, CO 80212-2107

Mailing address

4500 W. 38TH Ave.
Suite 220
Denver, CO 80212-2107
Phone (303) 420-1297

Other identifiers 1

IdentifierTypeStateIssuer
01290972MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100805000992 CO Practitioner - Family Practice 1153425236 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29097COMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wheat Ridge Family Physicians LLC Family Medicine CurrentSince Jan 1, 2001 Accepting new patients

Locations

4500 W 38th Ave
Ste 220
Denver, CO 80212
Phone (303) 218-7754

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278633600000",
    "number": "1386795029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 W. 38TH AVE.",
            "address_2": "SUITE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122107",
            "telephone_number": "303-420-1297",
            "fax_number": "303-420-2953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 W. 38TH AVE.",
            "address_2": "SUITE 220",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802122107",
            "telephone_number": "303-420-1297",
            "fax_number": "303-420-2953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDNAREK",
        "first_name": "JOSEPH",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2010-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "29097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01290972",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.