Organization
BEDFORD MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PAM ROTHGEB (ADMIN. MANAGER)
(540) 586-7273
Entity
Organization
Contact information
Practice address
171 W MAIN ST, BEDFORD, VA 24523-1950
(540) 586-7273
(540) 586-2887
Mailing address
171 W MAIN ST, BEDFORD, VA 24523-1950
(540) 586-7273
(540) 586-2887
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
VA
207R00000X
Internal Medicine Physician
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C04478
MEDICARE PTAN
—
Enumeration date
08/09/2005
Last updated
10/24/2013
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