1. Home
  2. Directory
  3. Maryland
  4. Bethesda
  5. Physician Assistant
  6. NPI Profile

DR. EDWARD JACKSON BOOTH PHD, APA-C
NPI 1487813317
Physician Assistant - Medical in Bethesda, MD

Active since June 05, 2008
4650 TAYLOR RD BLDG 17A, BETHESDA, MD 20889(301) 295-2737 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 26, 2025, Oct 16, 2023 (2 updates tracked since 2023).

About Dr. Edward Jackson Booth Phd, Apa-c NPPES

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

DR. EDWARD JACKSON BOOTH PHD, APA-C (NPI 1487813317) is an individual medical provider in Bethesda, Maryland and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1487813317
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameDR. EDWARD JACKSON BOOTHCredential: PHD, APA-C
Location Address4650 TAYLOR RD BLDG 17ABethesda, MD 20889-5638
Mailing Address4650 Taylor Rd Bldg 17aBethesda, MD 20889-5638 · (301) 295-2737
Phone(301) 295-2737
Sole ProprietorYes
Enumeration DateJune 5, 2008
Last NPPES UpdateNovember 26, 20252 updates tracked since enumeration
NPPES CertifiedNovember 26, 2025
✔ NPI 1487813317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
4650 TAYLOR RD BLDG 17A, Bethesda, MD 20889
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

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

MRS. MELISSA KIMBERLY PARKES OTRL
Occupational Therapist (Pediatrics)
4650 TAYLOR RD BLDG 17A
BETHESDA, MD 20889
Montgomery County (301) 295-8039
MR. RONALD ALBERT FANCHER FNP/CNM
Nurse Practitioner (Family)
4650 TAYLOR RD BLDG 17A
BETHESDA, MD 20889
Montgomery County (301) 400-0894
DR. HEATHER M BARBIER M.D.
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
4650 TAYLOR RD BLDG 17A
BETHESDA, MD 20889
Montgomery County (301) 400-2468
DR. JARED LEE ANTEVIL M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4650 TAYLOR RD BLDG 17A
BETHESDA, MD 20889
Montgomery County (757) 752-4999

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 Edward Booth's NPI number?

The NPI number for Edward Booth is 1487813317. It was assigned to this individual provider in the NPPES registry on June 5, 2008.

Where is Edward Booth located?

Edward Booth practices at 4650 Taylor Rd Bldg 17A, Bethesda, MD 20889. The listed phone number is (301) 295-2737.

What is Edward Booth's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Edward Booth was last updated on November 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.