Provider Demographics
NPI:1174743223
Name:BEDSOLE, DONALD LAWRENCE (MD)
Entity type:Individual
Prefix:MR
First Name:DONALD
Middle Name:LAWRENCE
Last Name:BEDSOLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7987
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36670-0987
Mailing Address - Country:US
Mailing Address - Phone:251-633-0573
Mailing Address - Fax:251-633-7367
Practice Address - Street 1:5955 AIRPORT BLVD
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36608
Practice Address - Country:US
Practice Address - Phone:251-633-0573
Practice Address - Fax:251-633-7367
Is Sole Proprietor?:No
Enumeration Date:2007-04-30
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL24341207RS0012X, 207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS04383264OtherMS MEDICAID
AL512-05486OtherBCBS
AL512-05487OtherBCBS
AL114384Medicaid
AL3927512OtherCIGNA HC
AL212339Medicaid
AL221440Medicaid
AL515-42476OtherBCBS
AL9142095OtherAETNA
AL221311Medicaid
ALH64421OtherVIVA HEALTH
ALP01098579OtherRR MEDICARE
AL212885Medicaid
AL102I293604OtherMEDICARE
AL2213591OtherUHC