Edwards, Bryan Todd

Edwards, Bryan Todd is an individual health care provider with primary practice located at 19485 Old Jetton Rd Suite 210, Cornelius NC 28031-6582. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Edwards, Bryan Todd can be contacted via phone (704) 316-1830.

Contact Information

Primary practice address
19485 Old Jetton Rd Suite 210 Cornelius NC 28031-6582
Phone: (704) 316-1830
Fax: (704) 316-1835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2006-00386 North Carolina

Profile Details

NPI number 1063408300
LBN Legal business name Edwards, Bryan Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2005
Last updated Jun 23rd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063408300 NPPES
North Carolina MEDICAID 5907841

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