Individual provider Active NPI

Leonard Erdman, MD

  • Internal Medicine Physician
  • Ft Lauderdale, FL
National Provider Identifier
1891801767
Registry record updated Mar 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0006780 Issued in FL
Practice address
1130 Bayview Dr
Ft Lauderdale, FL 33304-2505
Phone
(954) 563-3158
Fax
(954) 563-5874
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0006780 FL Primary

Addresses

Primary practice location

1130 Bayview Dr
Ft Lauderdale, FL 33304-2505

Mailing address

1130 Bayview Dr
Ft Lauderdale, FL 33304-2505
Phone (954) 563-3158

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

State licenses

LicenseStateTypeSpecialty
ME0006780FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Broward Hospital District Past Accepting new patients
Erdman and Madden LLC Internal Medicine PastSince Jun 1, 2002 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205539200000",
    "number": "1891801767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 BAYVIEW DR",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042505",
            "telephone_number": "954-563-3158",
            "fax_number": "954-563-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 BAYVIEW DR",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333042505",
            "telephone_number": "954-563-3158",
            "fax_number": "954-563-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERDMAN",
        "first_name": "LEONARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0006780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2008; 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.