Active NPI
Fred Clayton Edge, DC,MD
- Chiropractor
- Dunbar, PA
National Provider Identifier
1902943541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC001569L
- Practice address
- 1829 University Dr
Dunbar, PA 15431-2050 - Phone
- (724) 628-6677
- Fax
- (724) 628-4611
- NPI assigned
- Jan 31, 2007
- Last updated
- Sep 11, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC001569L | PA | Primary |
| Physical Medicine & Rehabilitation Physician | 208100000X | MD039571L | PA |
Addresses
Primary practice location
1829 University Dr
Dunbar, PA 15431-2050
Mailing address
1829 University Dr
Dunbar, PA 15431-2050
Phone (724) 628-6677
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC001569L | PA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butler Ave NC Chiropractic Center PC | Chiropractor | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Medical Physician Assistant
- Dunbar, PA
- NPI 1043357635
-
- Physical Medicine & Rehabilitation Physician
- Dunbar, PA
- NPI 1912284209
-
- Chiropractor
- Dunbar, PA
- NPI 1871728428
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1902943541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1829 UNIVERSITY DR",
"city": "DUNBAR",
"state": "PA",
"postal_code": "154312050",
"telephone_number": "724-628-6677",
"fax_number": "724-628-4611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1829 UNIVERSITY DR",
"city": "DUNBAR",
"state": "PA",
"postal_code": "154312050",
"telephone_number": "724-628-6677",
"fax_number": "724-628-4611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDGE",
"first_name": "FRED",
"middle_name": "CLAYTON",
"credential": "DC,MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-31",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC001569L",
"primary": true
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "PA",
"license": "MD039571L",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunbar, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.