Active NPI
Edgar H Willard, M.D.
- Cardiovascular Disease Physician
- Winter Haven, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- ME-34535
- Practice address
- 500 E Central Ave
East Centraond Clinic,
Winter Haven, FL 33880-3053 - Phone
- (863) 293-1191
- Fax
- (863) 293-3635
- NPI assigned
- Jul 13, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | ME-34535 | FL | Primary |
Addresses
Primary practice location
500 E Central Ave
East Centraond Clinic,
Winter Haven, FL 33880-3053
Mailing address
500 E Central Ave
Bond Clinic, P.a.
Winter Haven, FL 33880-3053
Phone (863) 293-1191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0383511-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- West Virginia University School of Medicine, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Ave 1 NE
Winter Haven, FL 33881-4143
Phone (863) 292-4077
200 Ave F NE
Winter Haven, FL 33881-4131
200 Ave F NE
Managed Care Dept
Winter Haven, FL 33881-4143
500 E Central Ave
Winter Haven, FL 33880-3053
Phone (863) 293-1191
Hospital & facility affiliations
- Pinnacle Home Care
- Trucare Home Health Solutions LLC
- Winter Haven Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME-34535 | FL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winter Haven Hospital Inc | Current | Accepting new patients | |
| Bond Clinic PA | Cardiovascular Disease | Current | Accepting new patients |
| Winter Haven Hospital Inc | Current | Accepting new patients | |
| Adventhealth Bond Clinic, Inc. | Current | Accepting new patients | |
| Bond Clinic PA | Current | Accepting new patients | |
| Adventhealth Bond Clinic, Inc. | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Bond Urgent Care LLC | Past | Accepting new patients |
Locations
199 Avenue B NW
Winter Haven, FL 33881
Phone (863) 284-1659
500 E Central Ave
Winter Haven, FL 33880
Phone 86329311913286
Interoperability endpoints
- edgar.willardiii.p1@direct.bondclinicpa.nextgenshare.com
Organizations & group practices 9
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.
-
- Internal Medicine Physician
- Winter Haven, FL
- NPI 1558150755
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
-
- Prosthetic/Orthotic Supplier
- Winter Haven, FL
- NPI 1053294678
-
- Internal Medicine Physician
- Winter Haven, FL
- NPI 1992565766
-
- Clinical Cardiac Electrophysiology Physician
- Winter Haven, FL
- NPI 1780150524
-
- Urgent Care Clinic/Center
- Winter Haven, FL
- NPI 1235641739
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Winter Haven, FL
- NPI 1245811876
-
- Home Health Agency
- Lakeland, FL
- NPI 1588052120
-
- General Acute Care Hospital
- Winter Haven, FL
- NPI 1477599975
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758067200000",
"number": "1285632265",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 E CENTRAL AVE",
"address_2": "BOND CLINIC, P.A.",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338803053",
"telephone_number": "863-293-1191",
"fax_number": "863-293-3635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E CENTRAL AVE",
"address_2": "EAST CENTRAOND CLINIC,",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338803053",
"telephone_number": "863-293-1191",
"fax_number": "863-293-3635"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLARD",
"first_name": "EDGAR",
"middle_name": "H",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-13",
"last_updated": "2025-09-17",
"certification_date": "2025-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "FL",
"license": "ME-34535",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0383511-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.