NPIMap

Organization Active NPI

Edgewood Center Pediatrics PC

  • Pediatrics Physician
  • Commerce Township, MI
National Provider Identifier
1295831550
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
EDGEWOOD CENTER PEDIATRICS PC
Practice address
8896 Commerce Rd
Ste 5
Commerce Township, MI 48382
Phone
(248) 360-9241
Fax
(248) 360-0830
NPI assigned
Sep 15, 2006
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Brian S Gendelman, MDNPI 1316055866
Title
President
Phone
(248) 360-9241

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary
Pediatric Adolescent Medicine Physician 2080A0000X NU

Addresses

Primary practice location

8896 Commerce Rd
Ste 5
Commerce Township, MI 48382

Mailing address

8896 Commerce Rd
Ste 5
Commerce Township, MI 48382
Phone (248) 360-9241

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0870804Edgewood Center Pediatrics8896 Commerce Rd Ste 5, Commerce TWP, MI 48382ComplianceJun 4, 2027

National Provider Directory

National Provider Directory

Locations

8896 Commerce Rd
Ste 5
Commerce Twp, MI 48382
Phone (248) 360-9241

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1295831550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8896 COMMERCE RD",
            "address_2": "STE 5",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "48382",
            "telephone_number": "248-360-9241",
            "fax_number": "248-360-0830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8896 COMMERCE RD",
            "address_2": "STE 5",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "48382",
            "telephone_number": "248-360-9241",
            "fax_number": "248-360-0830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEWOOD CENTER PEDIATRICS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "GENDELMAN",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-360-9241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.