Provider Demographics
NPI:1700836434
Name:BEDINGER, ROBERT WRIGHT JR (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:WRIGHT
Last Name:BEDINGER
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 28780
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23228-8780
Mailing Address - Country:US
Mailing Address - Phone:804-346-1515
Mailing Address - Fax:804-270-2888
Practice Address - Street 1:6900 FOREST AVE
Practice Address - Street 2:SUITE 300
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23230-1729
Practice Address - Country:US
Practice Address - Phone:804-346-1515
Practice Address - Fax:804-270-2888
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2013-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA010133253207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA72269OtherOPTIMA
VA116031OtherANTHEM BCBS
VA416372OtherSOUTHERN HEALTH
VA10508OtherCIGNA
VA539791OtherAETNA HMO
VA5817251Medicaid
VA0400324OtherUNITED HEALTHCARE
VA539792OtherAETNA NON-HMO
VA539791OtherAETNA HMO
VACB4715Medicare Oscar/Certification
VA110171420Medicare PIN
VA116031OtherANTHEM BCBS
B10221Medicare UPIN