Eden Primary Care

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

EDEN PRIMARY CARE

Practice address

8274 N Main St
Eden, NY 14057-1104

Phone

(716) 725-8114

NPI assigned

Mar 25, 2022

Last updated

Apr 1, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Brigid O'Gorman, MDNPI 1851889992

Title

Owner

Phone

(716) 575-7282

Specialties & licenses 3

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brigid Dewitt O'Gorman, MD

  • Internal Medicine Physician
  • Eden, NY
  • NPI 1851889992
  Medicare reassignment Care Compare group NPD Authorized official
• Deborah Dibble, FNP

  • Family Nurse Practitioner
  • Eden, NY
  • NPI 1952384067
  Medicare reassignment Care Compare group NPD
• Leigh-Anne B Diorio, FNP

  • Family Nurse Practitioner
  • Buffalo, NY
  • NPI 1326715228
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1154071934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8274 N MAIN ST",
            "city": "EDEN",
            "state": "NY",
            "postal_code": "140571104",
            "telephone_number": "716-575-7282",
            "fax_number": "716-899-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8274 N MAIN ST",
            "city": "EDEN",
            "state": "NY",
            "postal_code": "140571104",
            "telephone_number": "716-725-8114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDEN PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-25",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "O'GORMAN",
        "authorized_official_first_name": "BRIGID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-575-7282",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS MEDICAL LICENSE",
            "identifier": "301295",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Epic",
            "affiliation": "N",
            "address_1": "8274 N Main St",
            "city": "Eden",
            "state": "NY",
            "country_code": "US",
            "postal_code": "140571104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eckerd Corporation (Rite Aid Pharmacy 10813)
• Eden Central School District
• Eden Emergency Squad Inc
• Eden Family Dental PLLC
• Eden Heights of Eden Operating, LLC
• Edrnc Operating LLC (Eden Rehabilitation and Nursing Center)
• Family Plus Primary Care,Rpa,PC
• Dana L. Fazzolari
• Mackenzie Hope Franklin, RN
• Colleen Omara Griffin

• Internal Medicine Physician in Eden, NY
• Providers in Eden, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.