Active NPI
Ford Enterprises LLC
Doing business as Bedford Transitions LLC
- Family Nurse Practitioner
- Bedford, IN
National Provider Identifier
1700797743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- FORD ENTERPRISES LLC
- Doing business as
- Bedford Transitions LLC
- Practice address
- 2119 29TH St
Bedford, IN 47421-5305 - Phone
- (812) 675-0902
- NPI assigned
- Sep 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jerry Ford
- Title
- Owner
- Phone
- (812) 278-4549
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | |||
| Family Nurse Practitioner | 363LF0000X | Primary | ||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
2119 29TH St
Bedford, IN 47421-5305
Mailing address
2119 29TH St
Bedford, IN 47421-5305
Phone (812) 675-0902
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300008032 | Medicaid | IN |
Other names 1
- Bedford Transitions LLC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789516800000",
"number": "1700797743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2119 29TH ST",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474215305",
"telephone_number": "812-675-0902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2119 29TH ST",
"city": "BEDFORD",
"state": "IN",
"postal_code": "474215305",
"telephone_number": "812-675-0902"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FORD ENTERPRISES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A",
"authorized_official_last_name": "FORD",
"authorized_official_first_name": "JERRY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "812-278-4549"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300008032",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Bedford Transitions LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bedford, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.