DAVID BRUCE EDMONDS MD
NPI 1922084573
Pediatrics - Neonatal-Perinatal Medicine in Las Vegas, NV

Q: What is David Edmonds's NPI number?

The NPI number for David Edmonds is 1922084573. It was assigned to this individual provider in the NPPES registry on December 15, 2005. The provider is also known as David Bruce Edmonds M.D..

Q: What is David Edmonds's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for David Edmonds was last updated on May 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.

Active since December 15, 2005PECOS Enrolled

657 N TOWN CENTER DR, LAS VEGAS, NV 89144(702) 233-7786(702) 233-7423 Get Directions Write a Review

NPPES record last updated: May 7, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About David Bruce Edmonds Md NPPES

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

DAVID BRUCE EDMONDS MD (NPI 1922084573) is an individual neonatal-perinatal medicine provider in Las Vegas, Nevada, licensed in Nevada (8461) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922084573

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameDAVID BRUCE EDMONDSCredential: MD

Location Address657 N TOWN CENTER DRLas Vegas, NV 89144-6367

Mailing AddressPo Box 82070Las Vegas, NV 89180-2070 · (702) 869-5607 · Fax (702) 869-5607

Phone(702) 233-7786

Fax(702) 233-7423

Sole ProprietorNo

Enumeration DateDecember 15, 2005

Last NPPES UpdateMay 7, 2009

✔ NPI 1922084573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in NV · 8461

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

657 N TOWN CENTER DR, Las Vegas, NV 89144

Open in Google Maps ↗

Other Names 1

Professional Name (2)David Bruce Edmonds M.d.

Other Identifiers 2

Medicaid2002100NV

Medicare UPINC76645

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Bruce Edmonds Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

KORY CHARLOT

Registered Nurse (Critical Care Medicine)