Jared Scott Bedor, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5233-12 Issued in WI

Practice address

623 Wallace St Apt 6
New London, WI 54961-2181

Phone

(920) 850-2507

NPI assigned

Feb 2, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WI

Enrollment records 1

Specialty

Chiropractic

Education

Northwestern College of Chiropractic, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri County Chiropractic SCGroup PAC ID 8628005071, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Tri County Chiropractic SC

  • Chiropractor
  • Kimberly, WI
  • NPI 1225148133
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1485993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485993600000",
    "number": "1962940635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 WALLACE ST APT 6",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612181",
            "telephone_number": "920-850-2507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 WALLACE ST APT 6",
            "city": "NEW LONDON",
            "state": "WI",
            "postal_code": "549612181",
            "telephone_number": "920-850-2507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEDOR",
        "first_name": "JARED",
        "middle_name": "SCOTT",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-02",
        "last_updated": "2017-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "5233-12",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky Aus, FNP-C
• Jamie Ayres, RN, BSN
• Julia Christine Azure, PT, DPT
• Katelyn M Basden, DPT
• Emily Becher
• Jack R Behm, C.R.N.A.
• Lisa Behnke, MA
• Alaina Janae Beimborn, APNP
• Molly Benck, OD
• Cara Benner, APNP

• Chiropractor in New London, WI
• Providers in New London, WI by specialty
• Chiropractor in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.