DR. EDWARD BEDRICK (NPI# 1861434201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861434201 |
| Entity Type | Individual |
| Full Name | DR. EDWARD BEDRICK |
| Credential | M.D. |
| Practice Address |
7500 Central Ave Suite 104 Philadelphia PA 19111-2430 |
| Practice Telephone | 2157420712 |
| Practice Fax Number | 2157425218 |
| Mailing Telephone | 2157420712 |
| Mailing Fax Number | 2157425218 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2012-10-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD025011E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | KEYSTONE | 0054706000 | 01 |
| BLUE SHIELD | 418283 | 01 | |
| PA | AETNA | 0000642 | 01 |
| PA | TPI GROUP RAILROAD MEDICARE | CD4829 | 01 |
| PA | TPI GROUP MEDICAID ID | 100727800 | 01 |
| KEYSTONE MERCY | 1047802 | 01 | |
| PA | TPI GROUP MEDICARE PTAN | 597586 | 01 |
| Street Address |
7500 CENTRAL AVE SUITE 104 |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19111-2430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215931043 | Janice Zingaretti Herman | Nurse Anesthetist, Certified Registered | 7500 Central Ave, Suite 208b, Philadelphia, PA 19111-2430 | 2005-06-09 |
| 1104358332 | Denise Cooper | Technician, Other | 7500 Central Ave, Suite 203, Philadelphia, PA 19111-2430 | 2017-03-28 |
| 1457897779 | La Fortaleza Physical Therapy Center Inc | Occupational Therapist | 7500 Central Ave, Physician Building, Ste 102, Philadelphia, PA 19111-2430 | 2017-01-10 |
| 1740641414 | Temple Physicians Inc | General Practice | 7500 Central Ave, Suite 107a, Philadelphia, PA 19111-2430 | 2016-03-09 |
| 1912372947 | Jaclyn Marie Timoney | Nurse Practitioner | 7500 Central Ave, Suite 104, Philadelphia, PA 19111-2430 | 2015-12-02 |
| 1275903015 | Mylin Diaz | Specialist/Technologist, Other | 7500 Central Ave, Suite 203, Philadelphia, PA 19111-2430 | 2015-10-06 |
| 1124495833 | Temple Physicians Inc | Internal Medicine | 7500 Central Ave, Suite 202, Philadelphia, PA 19111-2430 | 2015-08-28 |
| 1255773875 | John M Bauso | Physical Therapist | 7500 Central Ave, Philadelphia, PA 19111-2430 | 2013-07-24 |
| 1912258476 | Temple Physicians Inc | Dietitian, Registered | 7500 Central Ave, Suite 104, Philadelphia, PA 19111-2430 | 2012-09-25 |
| 1932455565 | Janet M Wong | Nurse Practitioner | 7500 Central Ave, Suite 208, Physicians Office Building, Philadelphia, PA 19111-2430 | 2012-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036026 | Grace Agency Incorporated | Home Health | 433 Longshore Ave, Philadelphia, PA 19111 | 2020-09-08 |
| 1124517750 | Dana Christine Campetti | Physician Assistant | 700 Cottman Ave Ste 201, Philadelphia, PA 19111 | 2018-05-09 |
| 1235654286 | Dorotea Mutabdzic | Surgery | Fox Chase Cancer Center, 333 Cottman Ave, Dept of Surgical Oncology, Philadelphia, PA 19111 | 2017-08-11 |
| 1952841041 | Personal Care Home C&g | Point of Service | 6176 Newtown Ave, Philadelphia, PA 19111 | 2017-03-08 |
| 1477006849 | Fox Chase Cancer Center | Clinic/Center | 333 Cottman Ave., Philadelphia, PA 19111 | 2016-08-02 |
| 1578927521 | Peter Whooley | Student in an Organized Health Care Education/Training Program | Temple University/fox Chase Cancer Center, 333 Cottman Avenue, Philadelphia, PA 19111 | 2016-04-06 |
| 1043673783 | Matthew Holzerman | Physical Therapy Assistant | 1148 Tabor Plz, Philadelphia, PA 19111 | 2016-03-31 |
| 1831563329 | Aging With Care Inc | Home Health | 1614 Loney St, Philadelphia, PA 19111 | 2015-11-20 |
| 1043687551 | Kenneth Marsaglia II | Preventive Medicine | 8414 Bridle Road, Philadelphia, PA 19111 | 2015-09-01 |
| 1700220514 | Lorraine A Tauriello | Counselor | 716 Ripley St, Philadelphia, PA 19111 | 2013-04-23 |
| Find all providers in zip 19111 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427674407 | Jun Song | Internal Medicine | 3401 N Broad St Ste 801, Philadelphia, PA 19140-5103 | 2020-06-24 |
| 1932725264 | Aaron Leo Yazdian | Internal Medicine | 1335 South St Apt A, Philadelphia, PA 19147-1841 | 2020-06-23 |
| 1144846387 | Rishabh Khatri | Internal Medicine | 322 N Broad St Apt 1523, Philadelphia, PA 19102-1122 | 2020-06-23 |
| 1215564521 | Insight Home Physicians, PC | Internal Medicine | 7806 Cresheim Rd, Philadelphia, PA 19118-4003 | 2020-03-25 |
| 1457995938 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 3401 Market St Ste 105b, Philadelphia, PA 19104-3315 | 2019-10-29 |
| 1205479904 | Tower Drexel Academic Medical Group LLC | Internal Medicine | 219 N Broad St 8fl, Philadelphia, PA 19107-1507 | 2019-10-25 |
| 1700439056 | Alvaro Goncalves Mendes Neto | Internal Medicine | 5501 Old York Rd # 363, Philadelphia, PA 19141-3018 | 2019-07-16 |
| 1720648223 | Ali Haydar | Internal Medicine | 245 N. 15th St, 6th Floor, Ms 42, Philadelphia, PA 19102 | 2019-06-17 |
| 1114587672 | Stephen Michael Pokrywa | Internal Medicine | Drexel University Com, Internal Medicine Residency, 245 N. 15th St., 6th Floor, Ms 427, Philadelphia, PA 19102-1178 | 2019-06-17 |
| 1124688734 | Aakash Patel | Internal Medicine | Drexel University College of Medicine-internal Medicine, 245 N. 15th St. 6th Floor, Ms 427, Philadelphia, PA 19102 | 2019-06-17 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19111 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.