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EDGAR BEDOLLA MD
NPI 1265691158
Surgery - Plastic and Reconstructive Surgery in Dallas, TX

Active since June 05, 2008PECOS Enrolled
7777 FOREST LN STE C818, DALLAS, TX 75230(214) 271-6308 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 12, 2026, Aug 25, 2018 (2 updates tracked since 2018).

About Edgar Bedolla Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDGAR BEDOLLA MD (NPI 1265691158) is an individual plastic and reconstructive surgery provider in Dallas, Texas, licensed in Texas (R7662) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1265691158
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameEDGAR BEDOLLACredential: MD
Location Address7777 FOREST LN STE C818Dallas, TX 75230-7526
Mailing Address7777 Forest Ln Ste C818Dallas, TX 75230-7526 · (214) 271-6308
Phone(214) 271-6308
Sole ProprietorNo
Enumeration DateJune 5, 2008
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1265691158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in TX · R7662
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedSurgeryTaxonomy 208600000X · License 27188 (OK)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
7777 FOREST LN STE C818, Dallas, TX 75230
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Secondary Practice Location 1

Location 114018 Aesthetic CirHouston, TX 77062-2373 · Phone (281) 990-8487

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Edgar Bedolla Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edgar Bedolla's NPI number?

The NPI number for Edgar Bedolla is 1265691158. It was assigned to this individual provider in the NPPES registry on June 5, 2008.

Where is Edgar Bedolla located?

Edgar Bedolla practices at 7777 Forest Ln Ste C818, Dallas, TX 75230. The listed phone number is (214) 271-6308.

What is Edgar Bedolla's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Edgar Bedolla enrolled in Medicare?

Yes. Edgar Bedolla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Edgar Bedolla was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.