Active NPI
Ellen G Bedichek, M.D.
- Nephrology Physician
- Mechanicsville, VA
National Provider Identifier
1831197201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 0101041981
- Practice address
- 8485 Bell Creek Rd
Unit B2
Mechanicsville, VA 23116-3866 - Phone
- (804) 559-9757
- Fax
- (804) 559-9341
- NPI assigned
- Jul 11, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 0101041981 | VA | Primary |
Addresses
Primary practice location
8485 Bell Creek Rd
Unit B2
Mechanicsville, VA 23116-3866
Mailing address
671 Hioaks Rd
Suite B
Richmond, VA 23225
Phone (804) 272-5814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5821142 | Medicaid | VA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- ellen.bedichek@rn.eclinicaldirectplus.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478822400000",
"number": "1831197201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 HIOAKS RD",
"address_2": "SUITE B",
"city": "RICHMOND",
"state": "VA",
"postal_code": "23225",
"telephone_number": "804-272-5814",
"fax_number": "804-560-0232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8485 BELL CREEK RD",
"address_2": "UNIT B2",
"city": "MECHANICSVILLE",
"state": "VA",
"postal_code": "231163866",
"telephone_number": "804-559-9757",
"fax_number": "804-559-9341"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEDICHEK",
"first_name": "ELLEN",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-11",
"last_updated": "2016-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "VA",
"license": "0101041981",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5821142",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mechanicsville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.