Individual provider · NPI-1

Robert Bedford, RN, CRNP

Nurse Practitioner · Philadelphia, PA

NPI number1073306882
StatusActive
Last updated in NPPESOct 14, 2026

Details

NPI
1073306882
Entity type
Individual (NPI-1)
Name
Mr. Robert Bedford
Credential
RN, CRNP
Sex
Male
Sole proprietor
No
Enumeration date
May 24, 2025
Certification date
Oct 14, 2026
Last updated
Oct 14, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363L00000X Nurse PractitionerSP037334PAYes
163WG0000X Registered Nurse, General PracticeRN745947PA

Practice location

4134 Lancaster Ave
Philadelphia, PA 19104-1727

Phone 610-477-6423

Mailing address

4134 Lancaster Ave
Philadelphia, PA 19104-1727

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Nurse Practitioner providers in Philadelphia, PA