EDMUNDO NOEL TAN MD
NPI 1376559930
Pediatrics in Bedford, IN

Active since August 01, 2006
2900 16TH ST, BEDFORD, IN 47421(812) 279-3567(812) 275-1344 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Edmundo Noel Tan Md NPPES

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

EDMUNDO NOEL TAN MD (NPI 1376559930) is an individual pediatrics provider in Bedford, Indiana, licensed in Indiana (01031283A) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1376559930
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameEDMUNDO NOEL TANCredential: MD
Location Address2900 16TH STBedford, IN 47421-3510
Mailing Address2900 16th StBedford, IN 47421-3510 · (812) 279-3567 · Fax (812) 275-1344
Fax(812) 275-1344
Sole ProprietorNo
Enumeration DateAugust 1, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1376559930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License Licensed in IN · 01031283A
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2900 16TH ST, Bedford, IN 47421

Other Identifiers 2

Medicare UPINF66150IN
Medicare ID-Type Unspecified940070Pending

Other Providers at the Same Location NPPES 20

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

Nurse Anesthetist, Certified Registered
2900 16TH ST
BEDFORD, IN 47421
Nurse Practitioner (Family)
2900 16TH ST
BEDFORD, IN 47421
Pathology (Anatomic Pathology & Clinical Pathology)
2900 16TH ST
BEDFORD, IN 47421
Nurse Practitioner (Family)
2900 16TH ST
BEDFORD, IN 47421
Nurse Anesthetist, Certified Registered
2900 16TH ST
BEDFORD, IN 47421
Internal Medicine
2900 16TH ST
BEDFORD, IN 47421
Nurse Practitioner
2900 16TH ST
BEDFORD, IN 47421
Physician Assistant
2900 16TH ST
BEDFORD, IN 47421

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 Edmundo Tan's NPI number?

The NPI number for Edmundo Tan is 1376559930. It was assigned to this individual provider in the NPPES registry on August 1, 2006.

Where is Edmundo Tan located?

Edmundo Tan practices at 2900 16th St, Bedford, IN 47421. The listed phone number is (812) 279-3567.

What is Edmundo Tan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Edmundo Tan was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.