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Coleman Richard Beddingfield

Family Medicine

Allopathic & Osteopathic Physicians

1500 S Main St, Fort Worth, TX 76104-4917

PECOS Enrollment

This provider is enrolled in PECOS as COLEMAN BEDDINGFIELD.

Based on the most recent information from CMS, provider Coleman Richard Beddingfield is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1093459497
Provider Type
Individual
Full Name
Beddingfield, Coleman Richard
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
4/22/2022
Last Updated
4/22/2022

Contact Information

Practice Location

1500 S Main St, Fort Worth, TX 76104-4917

(817) 702-1244

Unlisted Fax

Mailing Location

1500 S Main St, Fort Worth, TX 76104-4917

(817) 702-1244

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License BP10080892 Texas

Coleman Richard Beddingfield

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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