Individual provider Active NPI

Raymond Alden Bedlington, DC

  • Chiropractor
  • Everson, WA
National Provider Identifier
1619083094
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH0002655 Issued in WA
Practice address
211 E Main St
Everson, WA 98247-0160
Phone
(360) 966-5844
Fax
(360) 966-7718
NPI assigned
Aug 21, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH0002655 WA Primary

Addresses

Primary practice location

211 E Main St
Everson, WA 98247-0160

Mailing address

PO Box 160
Bedlington Chiropractic Center PS
Everson, WA 98247-0160
Phone (360) 966-5844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006000705 WA Practitioner - Chiropractic 4284826488 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Western States College of Chiropractic, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

211 E Main St
Everson, WA 98247-9126
Phone (360) 966-5844

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CH0002655WAMDChiropractor
2655WAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bedlington Chiropractic Center Inc Chiropractor CurrentSince Mar 23, 2010 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, 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": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619083094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 160",
            "address_2": "BEDLINGTON CHIROPRACTIC CENTER PS",
            "city": "EVERSON",
            "state": "WA",
            "postal_code": "982470160",
            "telephone_number": "360-966-5844",
            "fax_number": "360-966-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E MAIN ST",
            "city": "EVERSON",
            "state": "WA",
            "postal_code": "982470160",
            "telephone_number": "360-966-5844",
            "fax_number": "360-966-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDLINGTON",
        "first_name": "RAYMOND",
        "middle_name": "ALDEN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH0002655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everson, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.