Organization Active NPI

Columbia Basin Chiropractic Care P.S.

  • Chiropractor
  • Ephrata, WA
National Provider Identifier
1760417315
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH00003320 Issued in WA
Legal business name
COLUMBIA BASIN CHIROPRACTIC CARE P.S.
Practice address
51 Alder St NW
Ephrata, WA 98823-1663
Phone
(509) 754-3295
Fax
(509) 754-3296
NPI assigned
Jul 12, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Brent Louis Bedford, D.C.NPI 1366455834
Title
Owner
Phone
(509) 754-3295

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH00003320 WA Primary

Addresses

Primary practice location

51 Alder St NW
Ephrata, WA 98823-1663

Mailing address

51 Alder St NW
Ephrata, WA 98823-1663
Phone (509) 754-3295

Other names 1

  • Brent Bedford, D.C. Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070524000509 WA Part B Supplier - Clinic/Group Practice 6608973797 Receives reassigned benefits from 1 practitioner
Practice locations: Ephrata, WA

National Provider Directory

National Provider Directory

Locations

51 Alder St NW
Ephrata, WA 98823
Phone (509) 754-3295

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760417315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 ALDER ST NW",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231663",
            "telephone_number": "509-754-3295",
            "fax_number": "509-754-3296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 ALDER ST NW",
            "city": "EPHRATA",
            "state": "WA",
            "postal_code": "988231663",
            "telephone_number": "509-754-3295",
            "fax_number": "509-754-3296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA BASIN CHIROPRACTIC CARE P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BEDFORD",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-754-3295",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH00003320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brent Bedford, D.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Ephrata, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.