Organization Active NPI

Robert W Edwards III MD Inc

  • Obstetrics & Gynecology Physician
  • Princeton, WV
National Provider Identifier
1245338516
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
19543 Issued in WV
Legal business name
ROBERT W EDWARDS III MD INC
Practice address
218 Undercliff Ter
Princeton, WV 24740-2176
Phone
(304) 327-1890
Fax
(304) 325-1908
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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

Authorized official

Name
Dr. Robert Edwards III, M.D.NPI 1073598710
Title
Owner
Phone
(304) 327-1890

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 19543 WV Primary

Addresses

Primary practice location

218 Undercliff Ter
Princeton, WV 24740-2176

Mailing address

488 Cherry St Ste 2
Bluefield, WV 24701-3304
Phone (304) 327-1890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040730000003 WV Part B Supplier - Clinic/Group Practice 1456321041 Receives reassigned benefits from 2 practitioners
Practice locations: Bluefield, WV

National Provider Directory

National Provider Directory

Locations

488 Cherry St
Bluefield, WV 24701

488 Cherry St
Ste 2
Bluefield, WV 24701
Phone (304) 324-8470

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745884800000",
    "number": "1245338516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 CHERRY ST STE 2",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247013304",
            "telephone_number": "304-327-1890",
            "fax_number": "304-325-1908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 UNDERCLIFF TER",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247402176",
            "telephone_number": "304-327-1890",
            "fax_number": "304-325-1908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W EDWARDS III MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-327-1890",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "19543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.