N.B. Edgerton, Jr., M.D., P.a.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

ME0027671 Issued in FL

Legal business name

N.B. EDGERTON, JR., M.D., P.A.

Practice address

4510 W Bay to Bay Blvd
Tampa, FL 33629-6537

Phone

(813) 875-8650

NPI assigned

Aug 16, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Norman B Edgerton Jr., M.D.NPI 1114909728

Title

Owner

Phone

(813) 875-8650

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 1

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

• Norman Bruce Edgerton Jr., MD

  • Gastroenterology Physician
  • Tampa, FL
  • NPI 1114909728
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1281916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281916800000",
    "number": "1336454214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 W DR MARTIN LUTHER KING JR BLVD",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076360",
            "telephone_number": "813-875-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 W BAY TO BAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336296537",
            "telephone_number": "813-875-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N.B. EDGERTON, JR., M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-16",
        "last_updated": "2010-08-16",
        "status": "A",
        "authorized_official_last_name": "EDGERTON",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-875-8650",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME0027671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Angelique Myton, RBT
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• N & J Adult Day Care LLC
• N & J Nurse Registry
• N. D. Castellano, M.D., D.D.S., P.a.
• David J Naar, MD
• Barbara Anne Nabrit-Stephens, MD
• Yvette G Nackers
• Mohamed A Nada, DDS
• Nadal Medical Center, Inc

• Gastroenterology Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2010; 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.