DR. BRYAN T EDWARDS (NPI# 1063408300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063408300 |
| Entity Type | Individual |
| Full Name | DR. BRYAN T EDWARDS |
| Credential | M.D. |
| Practice Address |
19485 Old Jetton Rd Suite 210 Cornelius NC 28031-6582 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043161830 |
| Practice Fax Number | 7043161835 |
| Mailing Telephone | 7043161830 |
| Mailing Fax Number | 7043161835 |
| Enumeration Date | 2005-09-22 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 2006-00386 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 5907841 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649829557 | Bryan Edwards | Physician Assistant | 4551 New Bern Ave Ste A100, Raleigh, NC 27610-1551 | 2019-09-04 |
| 1144281643 | Bryan W Edwards | Chiropractor | 2172 Silver Lake Rd Nw, New Brighton, MN 55112-5302 | 2006-04-01 |
| 1154826758 | Bryan Arthur Edwards | Student in an Organized Health Care Education/Training Program | 1130 W Michigan St # Fh204, Indianapolis, IN 46202-5209 | 2018-03-26 |
| 1588016802 | Bryan Christian Edwards | Specialist/Technologist | 8200 E Belleview Ave, Suite 615, Greenwood Village, CO 80111-2803 | 2016-07-11 |
| 1942400031 | Bryan William Edwards | Pharmacist | 3601 S 6th Ave # 13-119, Tucson, AZ 85723-0001 | 2007-07-18 |
| Street Address |
19485 OLD JETTON RD SUITE 210 |
| City | CORNELIUS |
| State | NC |
| Zip Code | 28031-6582 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831718204 | Elexander Neel Atkinson | Student in an Organized Health Care Education/Training Program | 19485 Old Jetton Rd, Cornelius, NC 28031-6582 | 2020-04-15 |
| 1336778455 | Rebecca Groch | Family Medicine | 19485 Old Jetton Rd, Cornelius, NC 28031-6582 | 2020-04-02 |
| 1790341410 | Vanessa Belair Adamson Crerar | Student in an Organized Health Care Education/Training Program | 19485 Old Jetton Rd, Cornelius, NC 28031-6582 | 2019-05-17 |
| 1275015380 | Carly Marie Armato | Physician Assistant | 19485 Old Jetton Rd, Cornelius, NC 28031-6582 | 2018-09-05 |
| 1568955912 | Elizabeth Joyce Trout | Student in an Organized Health Care Education/Training Program | 19485 Old Jetton Rd, Cornelius, NC 28031-6582 | 2018-06-11 |
| 1093203952 | Radoslava Hristova Djigrova | Family Medicine | 19485 Old Jetton Rd, Cornelius, NC 28031-6582 | 2018-04-26 |
| 1801324942 | Chandini Rathee | Student in an Organized Health Care Education/Training Program | 19485 Old Jetton Rd, Novant Family Medicine Clinic, Cornelius, NC 28031 | 2017-06-02 |
| 1790211266 | Shannon Sanchez Oviedo | Family Medicine | 19485 Old Jetton Rd, Cornelius, NC 28031-6582 | 2017-05-03 |
| 1831547561 | Ariel Talts | Student in an Organized Health Care Education/Training Program | 19485 Old Jetton Rd, Cornelius, NC 28031-6582 | 2016-06-03 |
| 1760823231 | Novant Medical Group Inc | Internal Medicine | 19485 Old Jetton Rd, Suite 270, Cornelius, NC 28031-6582 | 2013-07-12 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144827221 | Jessica Leigh Akbari | Behavior Technician | 16915 Liverpool Pkwy. Suite B, Cornelius, NC 28031 | 2020-10-02 |
| 1548871569 | Aalasa Brooks | Behavior Technician | 16915 Liverpool Pkwy, Suite B, Cornelius, NC 28031 | 2020-08-13 |
| 1366053381 | Mary-clara Pearl Mcalister | Behavior Technician | 16915 Liverpool Parkway, Suite B, Cornelius, NC 28031 | 2020-08-13 |
| 1851926075 | Cherie Torrence | Acupuncturist | 16930 W. Catawba Ave 203, Cornelius, NC 28031 | 2020-03-09 |
| 1154970481 | 100 Percent Chiropractic Padilla, LLC | Chiropractor | 19722 One Norman Drive, Suite 210, Cornelius, NC 28031 | 2019-09-09 |
| 1528628526 | O'brien and West, Dmd Viii, Pllc | Dentist | 19911 Zion Ave Bldg D, Ste. #d4, Cornelius, NC 28031 | 2019-06-20 |
| 1548775182 | Gretchen Anthony | Social Worker | 17105 Kenton Drive, Suite 201c, Cornelius, NC 28031 | 2017-12-05 |
| 1669842076 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 21720 Catawba Ave, Cornelius, NC 28031 | 2015-09-28 |
| 1518336296 | Special Touch Living | Clinic/Center | 11262 Heritage Green Drive, Cornelius, NC 28031 | 2015-09-23 |
| 1568830917 | Michelle Rene Skaggs | Occupational Therapist | 9075 Rosalyn Glen Rd, Cornelius, NC 28031 | 2015-09-02 |
| Find all providers in zip 28031 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497745822 | Jess M. Kirby | Orthopaedic Surgery | 19485 Old Jetton Rd, Suite 210, Cornelius, NC 28031-6582 | 2005-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366042244 | University of North Carolina At Chapel Hill | Orthopaedic Surgery | 6715 Mccrimmon Pkwy Ste 205a, Cary, NC 27519-1916 | 2020-10-29 |
| 1568075422 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 10660 Park Rd Ste 3100, Charlotte, NC 28210-8420 | 2020-08-28 |
| 1902429863 | Carolinas Physicians Network Inc | Orthopaedic Surgery | 2700 Providence Rd S Ste 225, Waxhaw, NC 28173-6314 | 2020-05-26 |
| 1932750304 | Orthocarolina, Pa - Bundle Payment Program Section 3 | Orthopaedic Surgery | 4601 Park Rd Ste 300, Charlotte, NC 28209-2290 | 2019-09-26 |
| 1376108522 | Wakemed Specialists Group, LLC | Orthopaedic Surgery | 8001 T W Alexander Dr Ste 224, Raleigh, NC 27617-4884 | 2019-05-03 |
| 1710444294 | Novant Medical Group, Inc | Orthopaedic Surgery | 167 Moore Rd Ste 202, King, NC 27021-8770 | 2019-02-21 |
| 1649737156 | Mcpc-15, LLC | Orthopaedic Surgery | 2919 Beechtree Dr Ste 3100, Sanford, NC 27330-6934 | 2019-02-21 |
| 1528543295 | Private Diagnostic Clinic Pllc | Orthopaedic Surgery | 1545 Orchard Villas Ave, Apex, NC 27502-4321 | 2018-09-28 |
| 1346722865 | Wake Specialty Physicians, LLC | Orthopaedic Surgery | 120 Healthplex Way Ste 206, Apex, NC 27502-8403 | 2018-08-31 |
| 1760987911 | Unc Rockingham Health Care, Inc. | Orthopaedic Surgery | 520 S Van Buren Rd Ste 2, Eden, NC 27288-5079 | 2018-03-29 |
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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.