Practice of Dr. Edwin Chung

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRACTICE OF DR. EDWIN CHUNG

Practice address

203 3Rd Ave E
Bradenton, FL 34208-1013

Phone

(941) 216-3103

Fax

(941) 921-1594

NPI assigned

Oct 18, 2018

Organization subpart

No

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

Authorized official

Name

Edwin K Chung, MDNPI 1104841360

Title

Owner

Phone

(941) 400-1700

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Edwin Kyung Chung, MD

  • Hospitalist Physician
  • Port Charlotte, FL
  • NPI 1104841360

  Single Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1972079762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6247 ANISE DR",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342385177",
            "telephone_number": "941-400-1700",
            "fax_number": "941-921-1594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 3RD AVE E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342081013",
            "telephone_number": "941-216-3103",
            "fax_number": "941-921-1594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICE OF DR. EDWIN CHUNG",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "CHUNG",
        "authorized_official_first_name": "EDWIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-400-1700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0005X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Hypertension Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Bradenton, FL
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.