Active NPI
Howard Berryman Edwards, M.D.
- Addiction Psychiatry Physician
- Bellevue, WA
National Provider Identifier
1609915685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- MD00022387
- Practice address
- 14205 SE 36TH St
100
Bellevue, WA 98006-1596 - Phone
- (425) 998-6123
- NPI assigned
- Feb 6, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Addiction Psychiatry Physician | 2084P0802X | MD00022387 | WA | Primary |
Addresses
Primary practice location
14205 SE 36TH St
100
Bellevue, WA 98006-1596
Mailing address
14205 SE 36TH St
100
Bellevue, WA 98006-1596
Phone (425) 998-6123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00022387 | WA | MD | Addiction Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443398400000",
"number": "1609915685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14205 SE 36TH ST",
"address_2": "100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061596",
"telephone_number": "425-998-6123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14205 SE 36TH ST",
"address_2": "100",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "980061596",
"telephone_number": "425-998-6123"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "HOWARD",
"middle_name": "BERRYMAN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-06",
"last_updated": "2015-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "WA",
"license": "MD00022387",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.