Individual provider Active NPI

Raymond Bradley Bedgood, D.O.

  • Gastroenterology Physician
  • Macon, GA
National Provider Identifier
1881675700
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
052054 Issued in GA
Practice address
610 3Rd St Ste 202
Macon, GA 31201-3262
Phone
(478) 464-2600
NPI assigned
Nov 8, 2005
Last updated
May 9, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 052054 GA Primary

Addresses

Primary practice location

610 3Rd St Ste 202
Macon, GA 31201-3262

Mailing address

610 3Rd St Ste 100
Macon, GA 31201-3293
Phone (478) 464-2600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050113000514 GA Practitioner - Gastroenterology 9537118849 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Nova Southeastern College of Osteo Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastroenterology Associates of Central Ga LLCGroup PAC ID 6901702059, 17 clinicians

Practice addresses (Care Compare)

610 3Rd St
Macon, GA 31201-3262
Phone (478) 464-2600

6103 Rd St
Suite 202
Macon, GA 31201-3262
Phone (478) 464-2600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy206
Upper gastrointestinal (GI) endoscopy for acid reflux346

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
052054GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastroenterology Associates of Central Ga, LLC CurrentSince Jan 1, 2008 Accepting new patients
United Medical Specialist, LLC Gastroenterology Past Accepting new patients
Synergetic Healings LLC Past Accepting new patients

Locations

310 Hospital Dr
Macon, GA 31217
Phone (478) 742-1354

350 Hospital Dr
Macon, GA 31217
Phone (478) 751-0367

610 3rd St
Macon, GA 31201
Phone (478) 254-5232

610 3rd St
Ste 100
Macon, GA 31201
Phone (478) 745-8205

610 3rd St
Ste 101
Macon, GA 31201

610 3rd St
Ste 102
Macon, GA 31201
Phone (478) 202-8691

610 3rd St
Ste 104
Macon, GA 31201

610 3rd St
Ste 200
Macon, GA 31201
Phone (478) 334-2328

610 3rd St
Ste 202
Macon, GA 31201
Phone (478) 216-7378

610 3rd St
Ste 204
Macon, GA 31201
Phone (478) 477-3936

610 3rd St
Ste 206
Macon, GA 31201

610 3rd St
Ste 2200
Macon, GA 31201

777 Hemlock St
Macon, GA 31201
Phone (478) 474-5600

821 N Cobb St
Milledgeville, GA 31061
Phone (478) 454-3500

Interoperability endpoints

  • Direct secure messaging: raymond.bedgood@gaocg.eclinicaldirectplus.com

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 6

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1881675700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 3RD ST STE 100",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013293",
            "telephone_number": "478-464-2600",
            "fax_number": "478-742-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 3RD ST STE 202",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013262",
            "telephone_number": "478-464-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDGOOD",
        "first_name": "RAYMOND",
        "middle_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "GA",
            "license": "052054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

Verify at the official NPI Registry.