Raymond Alden Bedlington, DC
Individual provider Active NPI Chiropractor · Everson, WA
NPI 1619083094 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1619083094
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- CH0002655 (WA)
- Practice address
- 211 E Main St
Everson, WA 98247-0160 - Phone
- (360) 966-5844
- Fax
- (360) 966-7718
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- 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
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101006000705 | WA | Practitioner - Chiropractic | 4284826488 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CH0002655 | WA | MD | Chiropractor |
| 2655 | WA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bedlington Chiropractic Center Inc | Chiropractor | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0002655 | WA | Yes |
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
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2016178 | Medicaid | WA |
Other providers in Everson, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.