Joel Bedolla

Individual provider Active NPI Case Manager/Care Coordinator · Reno, NV

NPI 1699112714 · NPPES record last updated May 30, 2013

Key facts

NPI
1699112714
Entity type
Individual (NPI type 1)
Primary specialty
Case Manager/Care Coordinator 171M00000X
Practice address
1725 S McCarran Blvd
Reno, NV 89502-9513
Phone
(775) 954-1400
NPI assigned
May 30, 2013
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Bristlecone Family Resources Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Yes

Addresses

Primary practice location

1725 S McCarran Blvd
Reno, NV 89502-9513

Mailing address

1725 S McCarran Blvd
Reno, NV 89502-9513

Other providers in Reno, NV

All providers in Reno, NV · Case Manager/Care Coordinator in Nevada

Sources for this page

Verify at the official NPI Registry.