NPI 1073306882 · live from the CMS NPI Registry
Robert Bedford, RN, CRNP
Nurse Practitioner in Philadelphia, PA. National Provider Identifier 1073306882, active.
NPI record
| NPI | 1073306882 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner 363L00000X |
| Practice location | 4134 Lancaster Ave, Philadelphia, PA 19104 |
| Practice phone | 610-477-6423 |
| Enumerated | May 24, 2025 |
| Last updated | October 14, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner primary | 363L00000X | SP037334 (PA) |
| Registered Nurse, General Practice | 163WG0000X | RN745947 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.