Individual provider Active NPI

Brent Charles Beddis, D.O.

  • Family Medicine Physician
  • Elkins Park, PA
National Provider Identifier
1962723148
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS016450 Issued in PA
Practice address
8250 Old York Rd FL 2
Elkins Park, PA 19027-1514
Phone
(215) 886-0440
Fax
(215) 886-0447
NPI assigned
Jun 22, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS016450 PA Primary

Addresses

Primary practice location

8250 Old York Rd FL 2
Elkins Park, PA 19027-1514

Mailing address

8250 Old York Rd FL 2
Elkins Park, PA 19027-1514
Phone (215) 886-0440

Other practice location 1

8101 Washington Ln
Suite 101
Wyncote, PA 19095-1625
Phone (215) 886-0440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20130913000134 PA Practitioner - Family Practice 3971751066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Philadelphia College of Osteopathic Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Einstein Community Health Associates IncGroup PAC ID 7012818008, 196 clinicians

Practice addresses (Care Compare)

101 E Olney Ave
Philadelphia, PA 19120-2470
Phone (215) 927-1937

8250 Old York Rd
FL 2
Elkins Park, PA 19027-1514
Phone (215) 885-8550

Hospital & facility affiliations

  • Jefferson Health at Home by Bayada Home health agency, Horsham, PA, CCN 397145
  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS016450PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Einstein Community Health Associates, Inc CurrentSince Dec 15, 2024 Accepting new patients
Einstein Community Health Associates, Inc Family Medicine CurrentSince Dec 15, 2024 Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients

Locations

8250 Old York Rd
#2
Elkins Park, PA 19027
Phone (215) 885-8550

101 E Olney Ave
Ste C5
Philadelphia, PA 19120
Phone (215) 927-1937

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1962723148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8250 OLD YORK RD FL 2",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271514",
            "telephone_number": "215-886-0440",
            "fax_number": "215-886-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8250 OLD YORK RD FL 2",
            "city": "ELKINS PARK",
            "state": "PA",
            "postal_code": "190271514",
            "telephone_number": "215-886-0440",
            "fax_number": "215-886-0447"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8101 Washington Ln",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Wyncote",
            "state": "PA",
            "postal_code": "190951625",
            "country_code": "US",
            "telephone_number": "215-886-0440",
            "fax_number": "215-886-0447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEDDIS",
        "first_name": "BRENT",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS016450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkins Park, PA

Sources for this page

Verify at the official NPI Registry.