MEDICARE: BETHANY JOELLE BADELL DPM

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
1	213E00000X	Podiatrist	07001476A	IN

Other Identifiers

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

General Provider Information

NPI Number	:	1962963876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BETHANY JOELLE BADELL DPM

Provider Business Mailing Address
First Line	:	PO BOX 843022
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64184-3022
Country	:	US
Telephone Number	:	317-770-6900
Fax Number	:	317-770-6911

Provider Business Practice Location Address
First Line	:	325 WESTFIELD RD STE B
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-1496
Country	:	US
Telephone Number	:	317-770-7660
Fax Number	:	317-770-7661

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2019
Last Update Date	:	05/22/2025

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