# DR. BRYAN DAVID EDGINGTON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1699748020
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | M13975 | ID | — |
| 207W00000X | Ophthalmology Physician | MD159840 | OR | Yes |
| 207W00000X | Ophthalmology Physician | MD60801522 | WA | — |

## Other

- **Enumeration date:** 02/08/2006
- **Last updated:** 07/18/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 20013225 | MEDICARE ID | ID |
| 05 | — | 20013225 | — | ID |
| 05 | — | 2021463 | — | WA |
| 05 | — | 500649006 | — | OR |
| 01 | — | G8975733 | MEDICARE WA | WA |
| 01 | — | G8975734 | MEDICARE WA | WA |
| 01 | — | G8975735 | MEDICARE WA | WA |
| 01 | — | G8975736 | MEDICARE WA | WA |
| 01 | — | G8975737 | MEDICARE WA | WA |
| 01 | — | R199916 | MEDICARE OR | OR |