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EDEN PRIMARY CARE
NPI 1154071934
Internal Medicine in Eden, NY

Active since March 25, 2022
8274 N MAIN ST, EDEN, NY 14057(716) 725-8114 Get Directions Write a Review

NPPES record last updated: April 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2026, Aug 6, 2022 (2 updates tracked since 2022).

About Eden Primary Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDEN PRIMARY CARE (NPI 1154071934) is a healthcare organization registered as an internal medicine in Eden, New York and active in the NPI registry since March 2022. The organization lists Brigid O'gorman, Owner, as its authorized official.

NPPES Registry Identity

NPI1154071934
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEDEN PRIMARY CARE
Location Address8274 N MAIN STEden, NY 14057-1104
Mailing Address8274 N Main StEden, NY 14057-1104 · (716) 575-7282 · Fax (716) 899-5081
Phone(716) 725-8114
Organization SubpartNo
Authorized OfficialBrigid O'gormanOwner · (716) 575-7282
Enumeration DateMarch 25, 2022
Last NPPES UpdateApril 1, 20262 updates tracked since enumeration
NPPES CertifiedApril 1, 2026
✔ NPI 1154071934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X
8274 N MAIN ST, Eden, NY 14057
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Other Identifiers 1

Other301295NY · Nys Medical License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2266033

Eden Primary Care · Eden, NY
Expired · Aug 3, 2026
CLIA Number33D2266033
Laboratory TypePhysician Office
Certificate Effective DateAugust 4, 2024
Certificate Expiration DateAugust 3, 2026
Laboratory DirectorBridgid D. Ogorman
Laboratory Phone(716) 575-7282
Laboratory LocationEden Primary Care8274 N Main Street, Eden, NY 14057
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEBORAH DIBBLE FNP
Nurse Practitioner (Family)
8274 N MAIN ST
EDEN, NY 14057
Erie County (716) 575-7282

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eden Primary Care's NPI number?

The NPI number for Eden Primary Care is 1154071934. It was assigned to this organization in the NPPES registry on March 25, 2022.

Where is Eden Primary Care located?

Eden Primary Care is located at 8274 N Main St, Eden, NY 14057. The listed phone number is (716) 725-8114.

What is Eden Primary Care's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Eden Primary Care was last updated on April 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.