Provider Demographics
NPI:1699854679
Name:BEDI, BHUPINDER SINGH (M,D;)
Entity Type:Individual
Prefix:DR
First Name:BHUPINDER
Middle Name:SINGH
Last Name:BEDI
Suffix:
Gender:M
Credentials:M,D;
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6151 FORT KING RD
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33542-7520
Mailing Address - Country:US
Mailing Address - Phone:813-782-5518
Mailing Address - Fax:
Practice Address - Street 1:6151 FORT KING RD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33542-7520
Practice Address - Country:US
Practice Address - Phone:813-782-5518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2013-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME23434207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL503402100Medicaid
FLD55950Medicare UPIN
FL503402100Medicaid