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NPI Code Detail

MEDICARE: BEDELL DIALYSIS, LLC

MEDICARE: BEDELL DIALYSIS, LLC
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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/CenterE2706MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1E2706OTHERMDSTATE LICENSE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841667789
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEDELL DIALYSIS, LLC
Provider Business Mailing Address
First Line : 5200 VIRGINIA WAY
Second Line : L & C DEPARTMENT
City : BRENTWOOD
State : TN
Zip : 37027-7569
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 13875 OUTLET DR
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-4971
Country : US
Telephone Number : 301-890-8976
Fax Number : 301-890-1505
Authorized Official
Title or Position : VP, LICENSURE & CERTIFICATION
Name : SAMUEL T WEY
Credential :
Telephone Number : 615-341-6641
Provider Enumeration Date : 08/26/2015
Last Update Date : 04/06/2026

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Directions to “BEDELL DIALYSIS, LLC ” Practice Location

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