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NPI Code Detail

MEDICARE: NOEL W BEDWELL M.D.

MEDICARE:   NOEL W BEDWELL  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1174400000XSpecialist15904MS
2207RC0001XClinical Cardiac Electrophysiology Physician12166AL
3174400000XSpecialist12166AL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
6G363OTHERALGROUP MEDICARE NUMBER
7G364OTHERALGROUP MEDICARE NUMBER

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
31467433524OTHERALINDIVIDUAL NPI NUMBER
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
51063477644OTHERALGROUP NPI NUMBER

General Provider Information

NPI Number : 1467433524
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOEL W BEDWELL M.D.
Provider Business Mailing Address
First Line : 6701 AIRPORT BLVD
Second Line : SUITE A107
City : MOBILE
State : AL
Zip : 36608-6705
Country : US
Telephone Number : 251-433-4700
Fax Number : 251-435-8549
Provider Business Practice Location Address
First Line : 6701 AIRPORT BLVD
Second Line : SUITE A107
City : MOBILE
State : AL
Zip : 36608-6705
Country : US
Telephone Number : 251-435-8572
Fax Number : 251-435-8615
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2005
Last Update Date : 05/06/2019

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Directions to “ NOEL W BEDWELL M.D.” Practice Location

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