Brent S Edwards, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

039781 Issued in GA

Practice address

3614 J Dewey Gray Cir Ste a
Augusta, GA 30909-6512

Phone

(706) 922-9222

Fax

(706) 922-5766

NPI assigned

Dec 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311120000000",
    "number": "1346225489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3614 J DEWEY GRAY CIR STE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096512",
            "telephone_number": "706-922-9222",
            "fax_number": "706-922-5766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 J DEWEY GRAY CIR STE A",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096512",
            "telephone_number": "706-922-9222",
            "fax_number": "706-922-5766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDWARDS",
        "first_name": "BRENT",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2011-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "039781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cathy Bernice Edmunds
• Susan Jowers Edmunds, RN
• Edouard J Servy MD PC
• Kathryn Elizabeth Edry, RN
• Edward T Wills DO
• Jeremy Richard Edwards, D.M.D.
• Johnny Edwards
• Rodger Edwards
• Eee Enterprises LLC
• Angilia Egbosimbah

• Specialist in Augusta, GA
• Providers in Augusta, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.