Iu Health Bedford Physicians, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

IU HEALTH BEDFORD PHYSICIANS, LLC

Practice address

2900 16TH St
Bedford, IN 47421-3510

Phone

(812) 275-1200

NPI assigned

Oct 1, 2012

Organization subpart

No

Name

Mr. Michael Craig

Title

Cfo

Phone

(812) 353-9554

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashraf Abdelhafez, MD

  • Hospitalist Physician
  • Greenwood, IN
  • NPI 1780977751

  Internal Medicine

  NPD (past)
• Rafi U Siddiqi, MD

  • Surgery Physician
  • Bedford, IN
  • NPI 1104810878

  Surgery

  NPD (past)
• Britney Anne Bertsch, M.D.

  • Pediatrics Physician
  • Russellville, KY
  • NPI 1457553737
  NPD (past)
• Pandu Ranga Sridhar, MD

  • Pediatrics Physician
  • Jbsa Randolph, TX
  • NPI 1215266739
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2018.

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518652800000",
    "number": "1730430745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1329",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474021329",
            "telephone_number": "812-353-6091",
            "fax_number": "812-353-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 16TH ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213510",
            "telephone_number": "812-275-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IU HEALTH BEDFORD PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-01",
        "last_updated": "2018-02-15",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "812-353-9554",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indiana University Health Bloomington Inc
• Indiana University Health Bloomington Inc
• Indiana University Health Southern Indiana Physicians, Inc
• Michelle M Ingram-Sanders, CPM, CDEM
• Integra Imaging Partners LLC
• J & B Schuckman Inc
• Jackson County Schneck Memorial Hospital
• Ashlea Jackson, PMHNP
• James M Jacobi, M.D.
• Jayme Albin

• All providers in Bedford, IN
• Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.