Healthcare Provider Details

I. General information

NPI: 1588650956
Provider Name (Legal Business Name): DAVID A BEDELL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2005
Last Update Date: 10/22/2025
Certification Date: 10/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3056 RIVER CROSSING COURT
RIVERSIDE IA
52327-4727
US

IV. Provider business mailing address

200 HAWKINS DR
IOWA CITY IA
52242-1009
US

V. Phone/Fax

Practice location:
  • Phone: 319-467-8355
  • Fax: 319-467-8351
Mailing address:
  • Phone: 319-467-8355
  • Fax: 319-467-8351

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD-29815
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number29815
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: