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

NPI Status: Active since March 27, 2009

Contact Information

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

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  • Individual
  • Male
  • Physician Assistant
  • Surgical

About KENNETH BEDOCK

This page provides the complete NPI Profile along with additional information for Kenneth Bedock, a provider established in Columbia, Tennessee with a medical specialization in Physician Assistant, focusing in surgical . The healthcare provider is registered in the NPI registry with number 1780826461 assigned on March 2009. The practitioner's primary taxonomy code is 363AS0400X with license number 649 (TN). The provider is registered as an individual and his NPI record was last updated 16 years ago.

NPI
1780826461
Provider Name
KENNETH T BEDOCK PA
Gender
Male
Entity Type
Individual
Location Address
1220 TROTWOOD AVE SUITE 401 COLUMBIA, TN 38401
Location Phone
(931) 388-6550
Location Fax
(931) 388-6459
Mailing Address
854 W JAMES CAMPBELL BLVD SUITE 303A COLUMBIA, TN 38401
Mailing Phone
(931) 540-4255
Mailing Fax
(931) 388-6459
Is Sole Proprietor?
No
Enumeration Date
03-27-2009
Last Update Date
03-27-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physician Assistant Surgical

Taxonomy Code
363AS0400X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
649
License State
TN

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1780826461
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2716016212412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 6 + 0 + 1 + 6 + 2 + 1 + 2 + 4 + 1 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1780826461 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

JOSEPH H COOPER PA

Physician Assistant

1220 TROTWOOD AVE
SUITE 401
COLUMBIA, TN
ZIP 38401

(931) 388-6550

SOUTH CENTRAL HEART GROUP INC

Internal Medicine

(Cardiovascular Disease)

1220 TROTWOOD AVE
SUITE 401
COLUMBIA, TN
ZIP 38401

(931) 388-8622

THORACIC AND CARDIOVASCULAR ASSOCIATES OF TENNESSEE INC

Thoracic Surgery (Cardiothoracic Vascular Surgery)

1220 TROTWOOD AVE
SUITE 401
COLUMBIA, TN
ZIP 38401

(931) 388-6550

JACQUES J HEIBIG M.D.

Internal Medicine

(Cardiovascular Disease)

1220 TROTWOOD AVE
SUITE 401
COLUMBIA, TN
ZIP 38401

(931) 388-8622

MAURY REGIONAL SURGERY CENTER LLC

Clinic/Center

(Ambulatory Surgical)

1220 TROTWOOD AVE
COLUMBIA, TN
ZIP 38401

(931) 381-1111

FATHI IDRIS ALI M.D.

Internal Medicine

(Cardiovascular Disease)

1220 TROTWOOD AVE
SUITE 401
COLUMBIA, TN
ZIP 38401

(931) 388-8622

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780826461, enumerated in the NPI registry as an "individual" on March 27, 2009

The provider is located at 1220 Trotwood Ave Suite 401 Columbia, Tn 38401 and the phone number is (931) 388-6550

The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical

This NPI record was last updated on March 27, 2009. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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