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KENNETH T BEDOCK PA
NPI 1780826461
Physician Assistant - Surgical in Columbia, TN

Active since March 27, 2009
1220 TROTWOOD AVE, SUITE 401, COLUMBIA, TN 38401(931) 388-6550(931) 388-6459 Get Directions Write a Review

NPPES record last updated: March 27, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth T Bedock Pa NPPES

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

KENNETH T BEDOCK PA (NPI 1780826461) is an individual surgical provider in Columbia, Tennessee, licensed in Tennessee (649) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1780826461
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameKENNETH T BEDOCKCredential: PA
Location Address1220 TROTWOOD AVE, SUITE 401Columbia, TN 38401-6433
Mailing Address854 W James Campbell Blvd, Suite 303aColumbia, TN 38401-4659 · (931) 540-4255 · Fax (931) 490-4654
Phone(931) 388-6550
Fax(931) 388-6459
Sole ProprietorNo
Enumeration DateMarch 27, 2009
✔ NPI 1780826461 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in TN · 649
1220 TROTWOOD AVE, Columbia, TN 38401
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Other Providers at the Same Location NPPES 6

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

THORACIC AND CARDIOVASCULAR ASSOCIATES OF TENNESSEE INC
Thoracic Surgery (Cardiothoracic Vascular Surgery)
1220 TROTWOOD AVE, SUITE 401
COLUMBIA, TN 38401
Maury County (931) 388-6550
JOSEPH H COOPER PA
Physician Assistant
1220 TROTWOOD AVE, SUITE 401
COLUMBIA, TN 38401
Maury County (931) 388-6550
JACQUES J HEIBIG M.D.
Internal Medicine (Cardiovascular Disease)
1220 TROTWOOD AVE, SUITE 401
COLUMBIA, TN 38401
Maury County (931) 388-8622
MAURY REGIONAL SURGERY CENTER LLC
Clinic/Center (Ambulatory Surgical)
1220 TROTWOOD AVE
COLUMBIA, TN 38401
Maury County (931) 381-1111
SOUTH CENTRAL HEART GROUP INC
Internal Medicine (Cardiovascular Disease)
1220 TROTWOOD AVE, SUITE 401
COLUMBIA, TN 38401
Maury County (931) 388-8622
FATHI IDRIS ALI M.D.
Internal Medicine (Cardiovascular Disease)
1220 TROTWOOD AVE, SUITE 401
COLUMBIA, TN 38401
Maury County (931) 388-8622

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 Kenneth Bedock's NPI number?

The NPI number for Kenneth Bedock is 1780826461. It was assigned to this individual provider in the NPPES registry on March 27, 2009.

Where is Kenneth Bedock located?

Kenneth Bedock practices at 1220 Trotwood Ave Suite 401, Columbia, TN 38401. The listed phone number is (931) 388-6550.

What is Kenneth Bedock's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Kenneth Bedock was last updated on March 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.