Robert Jackson Edge

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

07241819RE Issued in NC

Practice address

1St Recon BN, Bas PO Box#555584
Camp Pendleton, CA 92055

Phone

(760) 725-2896

NPI assigned

Jul 9, 2025

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1752019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1609766658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12007 SILVERWOOD BEND LN",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774331669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST RECON BN, BAS PO BOX#555584",
            "city": "CAMP PENDLETON",
            "state": "CA",
            "postal_code": "92055",
            "telephone_number": "760-725-2896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDGE",
        "first_name": "ROBERT",
        "middle_name": "JACKSON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-09",
        "last_updated": "2025-07-09",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "07241819RE",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Dubois, IDC
• Melanie A Dudik, OT
• Nathan Dyska, SFIDC
• E. M. Roberts, O.D.
• Nicholas Paulson Eccles, DDS
• Stephen Edwards, D.O.
• Shaun Eggleston, FNP-C
• Brendan Eghtedar, DDS
• Bridget Nicole Elder, MD
• Michael Steven Elliott, SOIDC

• Emergency Medicine Physician in Camp Pendleton, CA
• Providers in Camp Pendleton, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2025; 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.