Physician Compare National (NPI:1649384090)

HEALTHCARE PROVIDER: ADAM J EDELMAN M.D.

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

Individual Professional Information
NPI	1649384090
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	5597866145
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20070726000096
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	EDELMAN
	Individual professional last name
Provider First Name	ADAM
	Individual professional first name
Provider Middle Name	J
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIVERSITY OF MISSOURI, COLUMBIA SCHOOL OF MEDICINE
	Individual professional's medical school
Graduation Year	2001
	Individual professional's medical school graduation year
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	3015 N BALLAS RD
	Group Practice or individual's line 1 address
Line 2 Street Address	MISSOURI BAPTIST HOSPITAL
	Group Practice or individual's line 2 address
City	SAINT LOUIS
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	631312329
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y