Bennett B Edelman, M.D.

Primary specialty

Clinical Pathology/Laboratory Medicine PhysicianTaxonomy code 207ZP0105X

License

D0018310 Issued in MD

Practice address

22 S Greene St
Nbw73
Baltimore, MD 21201-1544

Phone

(410) 328-5514

Fax

(410) 328-0929

NPI assigned

Jul 2, 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

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

Locations

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.

• Univ of MD Pathology Associates P a

  • Clinical Medical Laboratory
  • Baltimore, MD
  • NPI 1740219401
  NPD
• University of Maryland Dermatologists PA

  • Clinical Medical Laboratory
  • Baltimore, MD
  • NPI 1912876855
  NPD (past)

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1295913600000",
    "number": "1124057013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 64592",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212644592",
            "telephone_number": "410-328-5514",
            "fax_number": "410-328-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "NBW73",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "410-328-5514",
            "fax_number": "410-328-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDELMAN",
        "first_name": "BENNETT",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2011-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "MD",
            "license": "D0018310",
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "MD",
            "license": "D0018310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ecumed Inc.
• Kemanna Eddings, LMSW
• Franka N Ede, LMT
• Cynthia Chisom Edeh, MBBS, MPH
• Malcolm Xzzavier Edelin
• Robert Edelman, M.D.
• Shaindel Edelman, LCPC, LCPAT
• Matthew Edelstein, PSY.D
• Eden Place Healing, LLC
• Elizabeth Eden, MD

• Clinical Pathology/Laboratory Medicine Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Pathology/Laboratory Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.