Active NPI
Debra Bedgood
- Podiatrist
- Montgomery, AL
National Provider Identifier
1760479174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 835
- Practice address
- 300 Twining Street
Maxwell Afb
Montgomery, AL 36112 - Phone
- (334) 953-5143
- Fax
- (334) 953-8296
- NPI assigned
- Sep 30, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 835 | VA | Primary |
| Foot Surgery Podiatrist | 213ES0131X | 1249 | TX |
Addresses
Primary practice location
300 Twining Street
Maxwell Afb
Montgomery, AL 36112
Mailing address
215 Perry Hill Rd # 115S
Montgomery, AL 36109-3725
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1249 | TX | MD | Foot Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184889600000",
"number": "1760479174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 PERRY HILL RD # 115S",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "361093725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 TWINING STREET",
"address_2": "MAXWELL AFB",
"city": "MONTGOMERY",
"state": "AL",
"postal_code": "36112",
"telephone_number": "334-953-5143",
"fax_number": "334-953-8296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDGOOD",
"first_name": "DEBRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-09-30",
"last_updated": "2007-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "VA",
"license": "835",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "TX",
"license": "1249",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Montgomery, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.