Individual
EDWARD M BURDOCK
Active
Individual
EDWARD M BURDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC CCSP
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
A06120
IA
111NS0005X
Sports Physician Chiropractor
Primary
A06120
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0179408
—
IA
01
—
45770
WELLMARK BLUE CROSS BLUE
IA
Enumeration date
03/04/2007
Last updated
03/26/2009
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