Active NPI
Bedford E. F. Palmer II, PH.D.
- Psychologist
- Oakland, CA
National Provider Identifier
1437478518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 28058
- Practice address
- 329 A 14TH Street
Oakland, CA 94612 - Phone
- (510) 761-8282
- NPI assigned
- May 27, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 28058 | CA | Primary |
Addresses
Primary practice location
329 A 14TH Street
Oakland, CA 94612
Mailing address
1928 St. Mary'S Rd, PMB 4350
Saint Mary'S College of California
Moraga, CA 94575
Phone (510) 761-8282
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
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28058 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BFP Consulting Inc | Psychologist | Past | Accepting new patients |
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": "1274918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1437478518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1928 ST. MARY'S RD, PMB 4350",
"address_2": "SAINT MARY'S COLLEGE OF CALIFORNIA",
"city": "MORAGA",
"state": "CA",
"postal_code": "94575",
"telephone_number": "510-761-8282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 A 14TH STREET",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94612",
"telephone_number": "510-761-8282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "BEDFORD",
"middle_name": "E. F.",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-05-27",
"last_updated": "2022-07-26",
"certification_date": "2022-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "28058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.