JAMES J BEDRICK


Address: 2015 Randolph Rd, Suite 108, Charlotte, NC 28207-1200
Phone: 7043342020

JAMES J BEDRICK (NPI# 1942279138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942279138
Entity Type Individual
Full Name JAMES J BEDRICK
Credential M.D.
Practice Address 2015 Randolph Rd
Suite 108
Charlotte
NC 28207-1200
Mailing Address 2025 Delpond Ln
Charlotte
NC 28226-6467
Practice Telephone 7043342020
Practice Fax Number 7043342020
Mailing Telephone 7043342020
Mailing Fax Number 7043346175
Enumeration Date 2006-03-17
Last Update Date 2012-12-31
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207W00000X Ophthalmology 14216 SC Allopathic & Osteopathic Physicians
Y 207W00000X Ophthalmology 26082 NC Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
SC N26082 05
NC 8914330 05

Office Location

Street Address 2015 RANDOLPH RD
SUITE 108
City CHARLOTTE
State NC
Zip Code 28207-1200

Providers in the same location

NPI Name Taxonomy Address Enumeration
1962493239 William Alfred Walker Colon & Rectal Surgery 2015 Randolph Rd, Suite 201, Charlotte, NC 28207-1200 2005-11-04
1508294687 Jacquelyn Chandler Rupp Dietitian, Registered 2015 Randolph Rd, Suite 208, Charlotte, NC 28207-1128 2013-10-28
1356779169 Charlotte Gastroenterology & Hepatology Dietitian, Registered 2015 Randolph Rd, Suite 208, Charlotte, NC 28207-1128 2013-10-15
1083959282 Novant Medical Group, Inc Surgery 2015 Randolph Rd, Suite 201, Charlotte, NC 28207-1200 2012-11-29
1851548655 Charlotte Gastroenterology & Hepatology, Pllc Clinic/Center 2015 Randolph Rd, Suite 101, Charlotte, NC 28207-1128 2008-08-22
1902934755 Robert Stevens Surgery 2015 Randolph Rd, Suite 201, Charlotte, NC 28207-1128 2007-03-02
1073603486 Jason A Wilson Internal Medicine 2015 Randolph Rd, Suite 208, Charlotte, NC 28207-1128 2006-10-14
1730100801 Charlotte Gastroenterology & Hepatology, Pllc Internal Medicine 2015 Randolph Rd, Suite 208, Charlotte, NC 28207-1128 2006-07-22
1003854860 Marcie Lynne Pickett Nurse Practitioner 2015 Randolph Rd, Ste 208, Charlotte, NC 28207-1200 2006-06-03
1285682443 David G Scholz Internal Medicine 2015 Randolph Rd, Suite 208, Charlotte, NC 28207-1200 2006-05-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1013560739 Louis Roncaglione Dentist 8815 Christenbury Pkway, Concord, NC 28207 2019-07-22
1619430014 Khrystyna Levytska Student in an Organized Health Care Education/Training Program Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 2019-04-11
1649743584 Carolinas Hometown Respiratory LLC Durable Medical Equipment & Medical Supplies 1005 South Kings Drive, Charlotte, NC 28207 2019-01-03
1023584489 Herron and Smith Associates, Pllc Dentist 135 Perrin Place, Suite 100, Charlotte, NC 28207 2018-10-23
1588161640 Lauren Mogk Student in an Organized Health Care Education/Training Program Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 2018-04-06
1518462241 Sarah Hollyn Carlock Student in an Organized Health Care Education/Training Program Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 2018-03-26
1083118178 Claire Milam Student in an Organized Health Care Education/Training Program Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 2018-03-22
1811422256 Complete Care At Dartmouth LLC Skilled Nursing Facility 300 Province Road, Charlotte, NC 28207 2017-04-24
1063945467 Kaitlyn O'keefe Internal Medicine 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 2017-04-04
1811432024 Advanced Prosthetics of Easley, Inc Durable Medical Equipment & Medical Supplies 2310 Randolph Rd Ste A, Charlotte, NC 28207 2016-12-23
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Taxonomy Information

Taxonomy Code 207W00000X
Grouping Allopathic & Osteopathic Physicians
Classification Ophthalmology

Taxonomy Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114572534 Charlotte Eye Ear Nose & Throat Associates, Pa Ophthalmology 400 E Stonewall St Unit F, Charlotte, NC 28202-3601 2019-08-02
1518351493 Lee Angelo Wiley Ophthalmology 10512 Park Rd Ste 200, Charlotte, NC 28210-8476 2015-03-27
1710271507 Charlotte Eye Ear Nose & Throat Associates, Pa Ophthalmology 2614 E 7th St, Charlotte, NC 28204-4375 2011-06-09
1760633812 Pedro Cervantes Fanning Ophthalmology 13532 Steelecroft Parkway, Charlotte, NC 28278-7545 2008-10-07
1548290562 Reza Michael Mozayeni Ophthalmology 3025 Springbank Lane, Ste 200, Charlotte, NC 28226-3362 2006-07-04
1821026980 Thomas K Mundorf Ophthalmology 1718 E. Fourth St., Ste 703, Charlotte, NC 28204 2006-06-29
1720027543 Cleve Wilson Howard Ophthalmology 7530 Whistlestop Rd, Charlotte, NC 28210-6914 2006-06-06
1669428975 Galen Grayson Ophthalmology 817 E Morehead St, Ste 200, Charlotte, NC 28202-2700 2006-05-26
1013963719 Genesis Eye Center Ophthalmology 817 East Morehead Street, Suite 200, Charlotte, NC 28202-2767 2006-05-25
1851354724 Wesley Dobbs Clement Sr. Ophthalmology 230 E Wt Harris Blvd, Suite C-13, Charlotte, NC 28262-3492 2006-04-10
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City CHARLOTTE
Zip Code 28207

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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