James W. Bedsole , Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

S404-TA-011 Issued in AL

Legal business name

JAMES W. BEDSOLE , INC.

Doing business as

James W. Bedsole PC

Practice address

2020 Martin St S
Pell City, AL 35128-2326

Phone

(205) 884-2020

Fax

(205) 338-8840

NPI assigned

Mar 31, 2008

Last updated

Nov 9, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James W. Bedsole, O.D.NPI 1700879145

Title

Presdent

Phone

(205) 884-2020

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• James W. Bedsole PC Doing business as

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James W. Bedsole, O.D.

  • Optometrist
  • Pell City, AL
  • NPI 1700879145
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667952000000",
    "number": "1710159728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "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": {
        "organization_name": "JAMES W. BEDSOLE , INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A",
        "authorized_official_last_name": "BEDSOLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESDENT",
        "authorized_official_telephone_number": "205-884-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "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"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410039493",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "James W. Bedsole PC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "James W. Bedsole PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Pell City, AL
• Providers in Pell City, AL by specialty
• Optometrist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.