Physician Compare National (NPI:1376556712)

HEALTHCARE PROVIDER: BOBBI EDWARDS MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1376556712
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6709774474
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130207000326
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	EDWARDS
	Individual professional last name
Provider First Name	BOBBI
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	F
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	1994
	Individual professional's medical school graduation year
Primary Specialty	DERMATOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	7525 GREENWAY CTR DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 208
	Group Practice or individual's line 2 address
City	GREENBELT
	Group Practice or individual's city
State	MD
	Group Practice or individual's state
Zip Code	207703525
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y