Individual provider Active NPI

Casey L Bedder, DO

  • Obstetrics & Gynecology Physician
  • Newark, DE
National Provider Identifier
1548478704
Registry record updated Jul 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
C2-0009781 Issued in DE
Practice address
4755 Ogletown Stanton Rd
Suite 1900
Newark, DE 19718-2200
Phone
(302) 733-6510
Fax
(302) 225-1111
NPI assigned
May 20, 2007
Last updated
Jul 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X C2-0009781 DE Primary

Addresses

Primary practice location

4755 Ogletown Stanton Rd
Suite 1900
Newark, DE 19718-2200

Mailing address

4755 Ogletown Stanton Rd
Suite 1900
Newark, DE 19718-2200
Phone (302) 733-6510

Other identifiers 1

IdentifierTypeStateIssuer
C2-0009781OtherDESTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20110811000579 DE Practitioner - Obstetrics/Gynecology 4981873742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, 1,480 clinicians

Practice addresses (Care Compare)

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C2-0009781DEMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Health Services Inc Obstetrics & Gynecology CurrentSince Sep 7, 2015 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Sep 7, 2015 Accepting new patients

Locations

4735 Ogletown Stanton Rd
#2
Newark, DE 19713

4735 Ogletown Stanton Rd
Ste 1109
Newark, DE 19713
Phone (302) 454-9800

4735 Ogletown Stanton Rd
Ste 2300
Newark, DE 19713
Phone (302) 224-8400

4755 Ogletown Stanton Rd
Ste 1
Newark, DE 19718
Phone (302) 378-1591

4755 Ogletown Stanton Rd
Ste 1900
Newark, DE 19718
Phone (302) 733-6510

4755 Oglewtown Stant S 190
Newark, DE 19718
Phone (302) 733-6510

Organizations & group practices 3

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": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468281600000",
    "number": "1548478704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "address_2": "SUITE 1900",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-6510",
            "fax_number": "302-225-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "address_2": "SUITE 1900",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-6510",
            "fax_number": "302-225-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDDER",
        "first_name": "CASEY",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2016-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "DE",
            "license": "C2-0009781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "C2-0009781",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.