Individual provider Active NPI

Cornel T Bedward, RRT

  • Pulmonary Diagnostics Registered Respiratory Therapist
  • Charles City, VA
National Provider Identifier
1780148494
Registry record updated Jan 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Diagnostics Registered Respiratory TherapistTaxonomy code 2279P1004X
License
0117007188 Issued in VA
Practice address
9301 The New Rd
Charles City, VA 23030-4424
Phone
(804) 426-1314
NPI assigned
Jan 27, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Diagnostics Registered Respiratory Therapist 2279P1004X 0117007188 VA Primary

Addresses

Primary practice location

9301 The New Rd
Charles City, VA 23030-4424

Mailing address

9301 The New Rd
Charles City, VA 23030-4424
Phone (804) 426-1314

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
0117007188VAMDPulmonary Diagnostics Registered Respiratory Therapist

NPI Registry JSON

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

{
    "created_epoch": "1548547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548547200000",
    "number": "1780148494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 THE NEW RD",
            "city": "CHARLES CITY",
            "state": "VA",
            "postal_code": "230304424",
            "telephone_number": "804-426-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 THE NEW RD",
            "city": "CHARLES CITY",
            "state": "VA",
            "postal_code": "230304424",
            "telephone_number": "804-426-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDWARD",
        "first_name": "CORNEL",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-27",
        "last_updated": "2019-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2279P1004X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered, Pulmonary Diagnostics",
            "state": "VA",
            "license": "0117007188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charles City, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2019; 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.