KENNETH T BEDOCK PA NPI 1780826461

NPI Information

  • NPI: 1780826461
  • Provider Name: KENNETH T BEDOCK, PA
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 1220 TROTWOOD AVE
    SUITE 401
    COLUMBIA, TN
    ZIP 38401
  • Phone: (931) 388-6550

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NPI Details

Kenneth T Bedock, PA is a surgical physician assistant in Columbia, TN. Kenneth T Bedock, PA NPI is 1780826461. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1220 TROTWOOD AVE
SUITE 401
COLUMBIA, TN
ZIP 38401-433
Phone: (931) 388-6550
Fax: (931) 388-6459

The enumeration date for this NPI number is 3/27/2009 and was last updated on 3/27/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical649TENNESSEEYes

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: 11/21/2025

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