BETHEL ADEFRES MD
NPI 1376112607
Student in an Organized Health Care Education/Training Program in Porterville, CA

Q: What is Bethel Adefres's NPI number?

The NPI number for Bethel Adefres is 1376112607. It was assigned to this individual provider in the NPPES registry on June 21, 2021.

Q: What is Bethel Adefres's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Bethel Adefres was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since June 21, 2021PECOS Enrolled

465 W PUTNAM AVE, PORTERVILLE, CA 93257(559) 784-1110 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2023, Jun 21, 2021 (2 updates tracked since 2021).

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About Bethel Adefres Md NPPES

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

BETHEL ADEFRES MD (NPI 1376112607) is an individual student in an organized health care education/training program in Porterville, California and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376112607

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameBETHEL ADEFRESCredential: MD

Location Address465 W PUTNAM AVEPorterville, CA 93257-3320

Mailing Address20 York StNew Haven, CT 06510-3220 · (203) 200-2000

Phone(559) 784-1110

Sole ProprietorYes

Enumeration DateJune 21, 2021

Last NPPES UpdateJune 9, 20232 updates tracked since enumeration

NPPES CertifiedJune 9, 2023

✔ NPI 1376112607 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

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.

Also ListedRadiology · Therapeutic RadiologyTaxonomy 2085R0203X · License 80946 (CT)

465 W PUTNAM AVE, Porterville, CA 93257

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethel Adefres 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN ALEXA MD

Student in an Organized Health Care Education/Training Program