MEDICARE: EDWARD FLOYD ALDRIDGE III M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208VP0000X	Pain Medicine Physician	11483	MS
2	208D00000X	General Practice Physician	11483	MS

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1427148667
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EDWARD FLOYD ALDRIDGE III M.D.

Provider Business Mailing Address
First Line	:	3091 BIENVILLE BLVD.
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564
Country	:	US
Telephone Number	:	228-818-5155
Fax Number	:

Provider Business Practice Location Address
First Line	:	3091 BIENVILLE BLVD.
Second Line	:
City	:	OCEAN SPRINGS
State	:	MS
Zip	:	39564
Country	:	US
Telephone Number	:	228-818-5155
Fax Number	:	228-818-5159

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2006
Last Update Date	:	03/27/2026

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