Charles Bedford Jr. (NPI# 1760401202, PAC ID# 1355461377) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1760401202 |
| PAC ID by PECOS | 1355461377 |
| Professional Enrollment ID | I20110118001054 |
| Full Name | Charles Bedford Jr. |
| Address |
1270 S Jasper St Decatur IL 62521-3531 |
| Phone Number | 2174228032 |
| Gender | M |
| Medical School | ILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO |
| Graduation Year | 1978 |
| Primary Specialty | OPTOMETRY |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 1270 S Jasper St, Decatur, IL 62521-3531 | 2174228032 |
| Street Address |
1270 S JASPER ST |
| City | DECATUR |
| State | IL |
| Zip | 62521-3531 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia L Miller | Nurse Practitioner | Decatur Memorial Hospital | 4455 Us Route 36 E, Decatur, IL 62521 |
| Dana M Ray | Family Medicine | Community Health Improvement Center | 1221 E Condit St, Decatur, IL 62521-1405 |
| Michael J Karasis | Urology | Siu Physicians and Surgeons Inc | 1750 E Lake Shore Dr, Suite 120, Decatur, IL 62521-3803 |
| Nicholas Nasry Tadros | Urology | Siu Physicians and Surgeons Inc | 1750 E Lake Shore Dr, Suite Ll2, Decatur, IL 62521-3803 |
| Bradley Fields Schwartz | Urology | Siu Physicians and Surgeons Inc | 1750 E Lake Shore Dr, Suite 120, Decatur, IL 62521-3803 |
| Naeemuddin Jatoi | Internal Medicine | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Suite 100, Decatur, IL 62521-3803 |
| Carrie Ann West | Nurse Practitioner | Siu Physicians and Surgeons Inc | 1750 E Lake Shore Dr, Suite 120, Decatur, IL 62521-3803 |
| Bavikatte Shivakumar | Gastroenterology | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Decatur, IL 62521-3803 |
| Virginia Ann Kerwin | Registered Dietitian Or Nutrition Professional | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Suite 300, Decatur, IL 62521-3806 |
| Jignesh P Modi | Infectious Disease | Hshs Medical Group Inc | 1750 E Lake Shore Dr, Decatur, IL 62521-3806 |
| Find all physicians in zip 62521 | |||
| City | DECATUR |
| Zip Code | 62521 |
| Specialty | OPTOMETRY |
| City + Specialty | DECATUR + OPTOMETRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.