Provider Type Icon

DR. NASTASSJA BEDFORD-LYON MD NPI 1235627225


NPI Information

NPI: 1235627225
Provider Name: DR. NASTASSJA BEDFORD-LYON, MD
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual

PECOS Registration: Yes

Address:
18100 OAKWOOD BLVD STE 300
DEARBORN, MI
ZIP 48124
Phone: (313) 240-4900
Get Directions

DR. Nastassja Bedford-lyon, MD is a student in an organized health care education training program in Dearborn, MI. The provider is an individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. DR. Nastassja Bedford-lyon, MD NPI is 1235627225. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

18100 OAKWOOD BLVD STE 300
DEARBORN, MI
ZIP 48124-085
Phone: (313) 240-4900

The NPI 1235627225 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/25/2018 and was last updated on 4/11/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine4301114596MICHIGANNo
2390200000XStudent in an Organized Health Care Education/Training Program4301114596MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.