Basic Information
| Provider Information | |||||||||
| NPI: | 1730471004 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BEDFORD | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | EDWARD | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | DEPARTMENT OF PSYCHIATRY | ||||||||
| Address2: | UNC HOSPITALS CB 7160 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997160 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199665217 | ||||||||
| FaxNumber: | 9199669646 | ||||||||
| Practice Location | |||||||||
| Address1: | DEPARTMENT OF PSYCHIATRY | ||||||||
| Address2: | UNC HOSPITALS CB 7160 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 275997160 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9199665217 | ||||||||
| FaxNumber: | 9199669646 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/05/2011 | ||||||||
| LastUpdateDate: | 05/05/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | 173595 | NC | Y | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.