Individual provider Active NPI

Judith M. McCole, DO

  • Family Medicine Physician
  • Bedford, NH
National Provider Identifier
1831188697
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9842 Issued in NH
Practice address
15 Constitution Dr
Elliot Family Medicine at Bedford Village
Bedford, NH 03110-6042
Phone
(603) 472-7233
Fax
(603) 472-9188
NPI assigned
Oct 14, 2005
Last updated
Jun 18, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9842 NH Primary
Addiction Medicine (Family Medicine) Physician 207QA0401X 9842 NH

Addresses

Primary practice location

15 Constitution Dr
Elliot Family Medicine at Bedford Village
Bedford, NH 03110-6042

Mailing address

15 Constitution Dr
Elliot Family Medicine at Bedford Village
Bedford, NH 03110-6042
Phone (603) 472-7233

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20060131000524 NH Practitioner - Family Practice 3971517814
I20250612002930 NH Practitioner - General Practice 3971517814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Practice
Education
University of New England, College of Osteo Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ipsmed LLCGroup PAC ID 1456746296, 4 clinicians

Practice addresses (Care Compare)

1 Stiles Rd
Suite 202
Salem, NH 03079-4802
Phone (781) 608-1131

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
9842NHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Treatment of New Hampshire, LP CurrentSince Jun 17, 2020 Accepting new patients
Ipsmed LLC CurrentSince May 20, 2025 Accepting new patients
Metro Treatment of New Hampshire, LP Past Accepting new patients

Locations

880 Central St
Ste K
Franklin, NH 03235
Phone (603) 224-3388

1 Stiles Rd
Ste 202
Salem, NH 03079
Phone (781) 608-1131

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1129248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1831188697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CONSTITUTION DR",
            "address_2": "ELLIOT FAMILY MEDICINE AT BEDFORD VILLAGE",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106042",
            "telephone_number": "603-472-7233",
            "fax_number": "603-472-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CONSTITUTION DR",
            "address_2": "ELLIOT FAMILY MEDICINE AT BEDFORD VILLAGE",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106042",
            "telephone_number": "603-472-7233",
            "fax_number": "603-472-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLE",
        "first_name": "JUDITH",
        "middle_name": "M.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-14",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "9842",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NH",
            "license": "9842",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

Verify at the official NPI Registry.