Individual provider Active NPI

Debra Bedgood

  • Podiatrist
  • Montgomery, AL
National Provider Identifier
1760479174
Registry record updated Jul 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
835 Issued in VA
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

Updated by the provider on Jul 20, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
1249TXMDFoot 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.

Verify at the official NPI Registry.