Inertia Sports and Family Medicine, PLLC

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

N9171 Issued in TX

Legal business name

INERTIA SPORTS AND FAMILY MEDICINE, PLLC

Practice address

115 Kohlers Xing Ste 200
Kyle, TX 78640-2461

Phone

(512) 300-0970

Fax

(866) 358-3313

NPI assigned

Jun 20, 2017

Last updated

Aug 13, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alysia Mae Bedgood, MDNPI 1265660724

Title

Managing Member

Phone

(512) 413-1402

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alysia Mae Bedgood, M.D.

  • Family Medicine Physician
  • Kyle, TX
  • NPI 1265660724
  Medicare reassignment NPD Authorized official
• Venessa Navarro, NP

  • Family Nurse Practitioner
  • Austin, TX
  • NPI 1972261741
  Medicare reassignment NPD

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

{
    "created_epoch": "1497916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565654400000",
    "number": "1477073617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "189 MCGARITY",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786405887",
            "telephone_number": "512-413-1402",
            "fax_number": "512-328-5500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 KOHLERS XING STE 200",
            "city": "KYLE",
            "state": "TX",
            "postal_code": "786402461",
            "telephone_number": "512-300-0970",
            "fax_number": "866-358-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INERTIA SPORTS AND FAMILY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-20",
        "last_updated": "2019-08-13",
        "status": "A",
        "authorized_official_last_name": "BEDGOOD",
        "authorized_official_first_name": "ALYSIA",
        "authorized_official_middle_name": "MAE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "512-413-1402",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N9171",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "N9171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sports Medicine (Family Medicine) Physician in Kyle, TX
• Providers in Kyle, TX by specialty
• Sports Medicine (Family Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.