Individual provider Active NPI

Scott H Bedwell, MD

  • Surgery Physician
  • Jamestown, NY
National Provider Identifier
1700860657
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
156627-01 Issued in NY
Practice address
15 S Main St Ste 170
Jamestown, NY 14701-6627
Phone
(716) 483-1183
Fax
(716) 483-2445
NPI assigned
Dec 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD027695E PA
Surgery Physician 208600000X 156627-01 NY Primary

Addresses

Primary practice location

15 S Main St Ste 170
Jamestown, NY 14701-6627

Mailing address

15 S Main St Ste 170
Jamestown, NY 14701-6627
Phone (716) 483-1183

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
156627-01NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jamestown Area Medical Associates, L.L.P. Surgery CurrentSince Jun 1, 1997 Accepting new patients
Saint Vincent Medical Education and Research Institute Past Accepting new patients

Locations

15 S Main St
Ste 170
Jamestown, NY 14701
Phone (716) 483-1183

31 Sherman St
Ste 2400
Jamestown, NY 14701
Phone (814) 483-5306

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1700860657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST STE 170",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016627",
            "telephone_number": "716-483-1183",
            "fax_number": "716-483-2445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 S MAIN ST STE 170",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016627",
            "telephone_number": "716-483-1183",
            "fax_number": "716-483-2445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDWELL",
        "first_name": "SCOTT",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-05",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD027695E",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "156627-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.