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

Kyle Bedenbaugh, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1073045209

Kyle Bedenbaugh, MD is a Student in an Organized Health Care Education/Training Program in Rincon, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2017
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

5629 Hwy 21 S
Rincon, GA 31326-9416
Phone: (912) 295-2133
Fax: (912) 295-5924
Show map & directions

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

Additional practice locations (1)

  • 2500 North State Street, Jackson, MS 39216-4505 — (601) 984-5582

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 85081 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1073045209
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2017
Last updated in NPPESMay 22, 2020
Certification dateMay 22, 2020
Mailing address5629 Hwy 21 S, Rincon, GA 31326-9416

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