Individual
DR. EDWARD BEDRICK
Active
Individual
DR. EDWARD BEDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD025011E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000642
AETNA
PA
01
—
0054706000
KEYSTONE
PA
01
—
100727800
TPI GROUP MEDICAID ID
PA
01
—
1047802
KEYSTONE MERCY
—
01
—
418283
BLUE SHIELD
—
01
—
597586
TPI GROUP MEDICARE PTAN
PA
01
—
CD4829
TPI GROUP RAILROAD MEDICARE
PA
Enumeration date
06/11/2006
Last updated
10/01/2012
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