Individual
BRAD REID EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
O316
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010143893
BLUE SHIELD
ID
05
—
0117436
—
MT
05
—
123957100
—
WY
05
—
1285786046
—
WY
01
—
54380
BLUE CROSS
ID
05
—
806644500
—
ID
Enumeration date
08/19/2006
Last updated
09/30/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up