Individual provider Active NPI

Bediola A Badie, M.D.

  • Allergy & Immunology Physician
  • Denton, TX
National Provider Identifier
1912907502
Registry record updated Apr 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
E6962 Issued in TX
Practice address
2617 Scripture St
Suite #101
Denton, TX 76201-2311
Phone
(940) 382-4142
Fax
(940) 382-7620
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X E6962 TX Primary

Addresses

Primary practice location

2617 Scripture St
Suite #101
Denton, TX 76201-2311

Mailing address

2617 Scripture St
Suite #101
Denton, TX 76201-2311
Phone (940) 382-4142

Other identifiers 1

IdentifierTypeStateIssuer
8J3452OtherTXBLUECROSS/BLUESHIELD

Other names 1

  • Bediola A Badie Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20090528000667 TX Practitioner - Allergy/Immunology 4486703147 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1967
Medicare assignment
May accept Medicare assignment
Group practices
Samuel B. Foster, MD. PLLCGroup PAC ID 1850608704, 6 clinicians

Practice addresses (Care Compare)

2617 Scripture St
Suite 101
Denton, TX 76201-2398
Phone (940) 382-4142

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Urgent Care Inc CurrentSince Sep 1, 2015 Accepting new patients
Samuel B. Foster, M.D., PLLC Allergy & Immunology CurrentSince Apr 1, 2016 Accepting new patients
Absolute Urgent Care Inc CurrentSince Sep 1, 2015 Accepting new patients
North Texas Allergy & Asthma Center PastSince Jan 1, 1990 Accepting new patients

Locations

3321 Unicorn Lake Blvd
Ste 121
Denton, TX 76210
Phone (940) 382-4142

2617 Scripture St
Ste 101
Denton, TX 76201
Phone (940) 382-4142

800 W Highway 82
Gainesville, TX 76240
Phone (580) 223-8614

217 N Weaver St
Gainesville, TX 76240
Phone (940) 665-3247

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240963200000",
    "number": "1912907502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 SCRIPTURE ST",
            "address_2": "SUITE #101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012311",
            "telephone_number": "940-382-4142",
            "fax_number": "940-382-7620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 SCRIPTURE ST",
            "address_2": "SUITE #101",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762012311",
            "telephone_number": "940-382-4142",
            "fax_number": "940-382-7620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADIE",
        "first_name": "BEDIOLA",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2009-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "E6962",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "8J3452",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEDIOLA",
            "last_name": "BADIE",
            "middle_name": "A",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.