Healthcare Provider Details

I. General information

NPI: 1851417364
Provider Name (Legal Business Name): TIMOTHY JAMES BEDIENT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2007
Last Update Date: 03/12/2026
Certification Date: 03/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2132 N NEVADA AVE STE 305
COLORADO SPRINGS CO
80907-6917
US

IV. Provider business mailing address

4535 DRESSLER RD NW
CANTON OH
44718-2545
US

V. Phone/Fax

Practice location:
  • Phone: 719-471-7064
  • Fax: 719-776-5459
Mailing address:
  • Phone: 800-828-0898
  • Fax: 330-493-8677

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberDR46988
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberDR46988
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: