Individual provider Active NPI

James W. Bedsole, O.D.

  • Optometrist
  • Pell City, AL
National Provider Identifier
1700879145
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
S404-TA-011 Issued in AL
Practice address
2020 Martin St S
Pell City, AL 35128-2326
Phone
(205) 884-2020
Fax
(205) 338-8840
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X S404-TA-011 AL Primary

Addresses

Primary practice location

2020 Martin St S
Pell City, AL 35128-2326

Mailing address

1723 Cogswell Ave
Pell City, AL 35125-1646
Phone (205) 884-2020

Other identifiers 2

IdentifierTypeStateIssuer
45072OtherALBLUECROSS PMD
000045072MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080808000056 AL Practitioner - Optometry 1355415464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2020 Martin St S
Pell City, AL 35128-2326
Phone (205) 884-2020

Merit-based Incentive Payment System (MIPS)

Final score
60.86 of 100Reported as individual
Quality
28.84
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery99

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S404-TA-011ALMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
James W. Bedsole , Inc. Optometrist CurrentSince Dec 31, 1998 Accepting new patients
David Judge, MD, PC PastSince Dec 31, 1998 Accepting new patients

Locations

2020 Martin St S
Pell City, AL 35128
Phone (205) 884-2020

1723 Cogswell Ave
Pell City, AL 35125
Phone (205) 884-2020

Interoperability endpoints

  • Direct secure messaging: jwbedsoleod@drbedsole.direct.eyemdemr.com

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1700879145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 COGSWELL AVE",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351251646",
            "telephone_number": "205-884-2020",
            "fax_number": "205-338-8840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 MARTIN ST S",
            "city": "PELL CITY",
            "state": "AL",
            "postal_code": "351282326",
            "telephone_number": "205-884-2020",
            "fax_number": "205-338-8840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDSOLE",
        "first_name": "JAMES",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "AL",
            "license": "S404-TA-011",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS  PMD",
            "identifier": "45072",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000045072",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pell City, AL

Sources for this page

Verify at the official NPI Registry.