Ricardo Bedoya-Garcia, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

ME17760 Issued in FL

Practice address

183 NW Gwen Lake Ave
Lake City, FL 32055-3711

Phone

(386) 752-9144

Fax

(386) 752-5881

NPI assigned

Feb 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Ricardo Bedoya Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Radiology Associates of Lake City PA

  • Diagnostic Radiology Physician
  • Lake City, FL
  • NPI 1750315081
  NPD (past) Authorized official
• Amarillo Radiology Associates LLP

  • Diagnostic Radiology Physician
  • Amarillo, TX
  • NPI 1861692956
  NPD (past)
• Brownwood Hospital LP

  dba Brownwood Regional Medical Center

  • Diagnostic Radiology Physician
  • Brownwood, TX
  • NPI 1275556391
  NPD (past)

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

{
    "created_epoch": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1497728356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 691",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320560691",
            "telephone_number": "386-752-9144",
            "fax_number": "386-752-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "183 NW GWEN LAKE AVE",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320553711",
            "telephone_number": "386-752-9144",
            "fax_number": "386-752-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDOYA-GARCIA",
        "first_name": "RICARDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "E0400",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME17760",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "056974",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "064732200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "180121901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICARDO",
            "last_name": "BEDOYA",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jeanine Beatty, MS., RD.
• Leah Marie Beaty
• Edward Deason Beck, PHARMD
• Roger Gary Beck, DPM
• Bedoya Eye Care P a
• Eduardo Bedoya, MD
• Patricia Bedoya, M.D.
• Begum Internal Medicine LLC
• Behavioral Learning Systems, Inc.
• Crystal Bell

• Diagnostic Radiology Physician in Lake City, FL
• Providers in Lake City, FL by specialty
• Diagnostic Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.