1. Home
  2. Directory
  3. Delaware
  4. Wilmington
  5. Family Medicine
  6. NPI Profile

ELDERBERRY HEALTH FOUNDATION
NPI 1376258467
Family Medicine in Wilmington, DE

Active since January 23, 2023
1207 DELAWARE AVE #1904, WILMINGTON, DE 19806(314) 788-4620 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elderberry Health Foundation NPPES

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

ELDERBERRY HEALTH FOUNDATION (NPI 1376258467), doing business as Elderberrymd, is a healthcare organization registered as a family medicine in Wilmington, Delaware and active in the NPI registry since January 2023. The organization lists Landon Wiedenman, Ceo, as its authorized official.

NPPES Registry Identity

NPI1376258467
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameELDERBERRY HEALTH FOUNDATION
Location Address1207 DELAWARE AVE #1904Wilmington, DE 19806
Mailing Address15455 Manchester Rd #3313Ballwin, MO 63022-5049
Phone(314) 788-4620
Organization SubpartNo
Authorized OfficialLandon WiedenmanCeo · (314) 788-4620
Enumeration DateJanuary 23, 2023
NPPES CertifiedJanuary 11, 2023
✔ NPI 1376258467 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Other Names 1

Doing Business AsElderberrymd

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

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 Elderberry Health Foundation's NPI number?

The NPI number for Elderberry Health Foundation is 1376258467. It was assigned to this organization in the NPPES registry on January 23, 2023. The provider is doing business as ElderberryMD.

Where is Elderberry Health Foundation located?

Elderberry Health Foundation is located at 1207 Delaware Ave #1904, Wilmington, DE 19806. The listed phone number is (314) 788-4620.

What is Elderberry Health Foundation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Elderberry Health Foundation was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.