Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Danielle Bedford, FNP-C

Individual provider Family Nurse Practitioner · NPI 1588409791

Danielle Bedford, FNP-C is a Nurse Practitioner in Fayetteville, New York. Qualified in 2024, 2 years ago. Practices with Dr Fazeli and Dr Broumand LLC, an 11-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4110 Medical Center Dr Ste 110
Fayetteville, NY 13066-6613
Phone: (315) 992-6308
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence F354458 (NY)

Record details

NPI number1588409791
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedJune 28, 2024
Last updated in NPPESJune 28, 2024
Certification dateJune 27, 2024
Mailing address4110 Medical Center Dr Ste 110, Fayetteville, NY 13066-6613

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Dr. Fazeli And Dr. Broumand Llc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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