Edmund Joseph Lebauer, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

11887 Issued in NC

Practice address

1126 N Church St
Suite 300
Greensboro, NC 27401-1000

Phone

(336) 547-1700

NPI assigned

Apr 13, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reidsville Community Physicians Inc

  • Orthopaedic Surgery Physician
  • Reidsville, NC
  • NPI 1699711572

  Internal Medicine

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043274491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890195",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890195",
            "telephone_number": "336-547-1700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 N CHURCH ST",
            "address_2": "SUITE 300",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011000",
            "telephone_number": "336-547-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBAUER",
        "first_name": "EDMUND",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-13",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "11887",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "11887",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4097819",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS MEDICARE",
            "identifier": "615",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "26888",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "51335",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8951335",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christie Janel Leath-Warren, NP-C
• Michelle Leatherman, PTA
• Lebauer Medical Center, PLLC
• Lebauer Physical Therapy, LLC
• Aaron Joseph Lebauer, PT, DPT
• Eugene Shaner Lebauer, M.D.
• Samuel Morgenstern Lebauer, M.D.
• Katie Leblanc, SLP
• Alexandra J Lebron
• Ethan Lechner, LCSWA, PHD

• Internal Medicine Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.