Active NPI
Edward B Biederman
- Internal Medicine Physician
- Fort Lauderdale, FL
National Provider Identifier
1780799940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME26835
- Practice address
- 4701 N Federal Hwy
Suite a-27
Ft Lauderdale, FL 33308-4608 - Phone
- (954) 938-9966
- Fax
- (954) 938-8227
- NPI assigned
- Aug 20, 2006
- Last updated
- Jun 20, 2012
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME26835 | FL | Primary |
Addresses
Primary practice location
4701 N Federal Hwy
Suite a-27
Ft Lauderdale, FL 33308-4608
Mailing address
4701 N Federal Hwy
Suite a-27
Ft Lauderdale, FL 33308-4608
Phone (954) 938-9966
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 261626200 | Medicaid | FL |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holy Cross Hospital, Inc | Past | Accepting new patients | |
| Holy Cross Hospital Inc | Past | Accepting new patients |
Interoperability endpoints
- ebiederman2013324@direct.trinity-health.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Holy Cross Medical Group
- Anatomic Pathology & Clinical Pathology Physician
- Fort Lauderdale, FL
- NPI 1518126499
-
dba Ft Lauderdale Anesthesia Services
- Anesthesiology Physician
- Fort Lauderdale, FL
- NPI 1487405718
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1780799940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4701 N FEDERAL HWY",
"address_2": "SUITE A-27",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333084608",
"telephone_number": "954-938-9966",
"fax_number": "954-938-8227"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4701 N FEDERAL HWY",
"address_2": "SUITE A-27",
"city": "FT LAUDERDALE",
"state": "FL",
"postal_code": "333084608",
"telephone_number": "954-938-9966",
"fax_number": "954-938-8227"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIEDERMAN",
"first_name": "EDWARD",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME26835",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "261626200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.