Provider Demographics
NPI:1467433524
Name:BEDWELL, NOEL W (MD)
Entity Type:Individual
Prefix:
First Name:NOEL
Middle Name:W
Last Name:BEDWELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6701 AIRPORT BLVD
Mailing Address - Street 2:SUITE A107
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36608-6705
Mailing Address - Country:US
Mailing Address - Phone:251-433-4700
Mailing Address - Fax:251-435-8549
Practice Address - Street 1:6701 AIRPORT BLVD
Practice Address - Street 2:SUITE A107
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608-6705
Practice Address - Country:US
Practice Address - Phone:251-435-8572
Practice Address - Fax:251-435-8615
Is Sole Proprietor?:No
Enumeration Date:2005-11-07
Last Update Date:2019-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS15904174400000X
AL12166207RC0001X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac Electrophysiology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL529601560Medicaid
MS00115660Medicaid
AL1467433524OtherINDIVIDUAL NPI NUMBER
AL000033302Medicaid
AL1063477644OtherGROUP NPI NUMBER
ALG363OtherGROUP MEDICARE NUMBER
ALG364OtherGROUP MEDICARE NUMBER
AL060034380Medicare PIN
MS060000288Medicare ID - Type Unspecified
AL1063477644OtherGROUP NPI NUMBER
AL529601560Medicaid