BRUCE J EDSON MD PA
NPI 1922346030
Psychologist - Prescribing (Medical) in Tampa, FL

Q: What is Bruce J Edson MD PA's NPI number?

The NPI number for Bruce J Edson MD PA is 1922346030. It was assigned to this organization in the NPPES registry on January 24, 2013. The provider was formerly known as Bruce J Edson MD.

Q: What is Bruce J Edson MD PA's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Active since January 24, 2013

16554 N DALE MABRY HWY, TAMPA, FL 33618(813) 968-7188(813) 715-9802 Get Directions Write a Review

NPPES record last updated: January 24, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Bruce J Edson Md Pa NPPES

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

BRUCE J EDSON MD PA (NPI 1922346030), doing business as Bruce J Edson Md, is a healthcare organization registered as a prescribing (medical) in Tampa, Florida and active in the NPI registry since January 2013. The organization lists Cindi Germond, Administrative Assistant, as its authorized official.

NPPES Registry Identity

NPI1922346030

Entity TypeOrganization

Primary Taxonomy103TP0016X

Legal Business NameBRUCE J EDSON MD PA

Location Address16554 N DALE MABRY HWYTampa, FL 33618-1325

Mailing Address16554 N Dale Mabry HwyTampa, FL 33618-1325 · (813) 968-7188 · Fax (813) 715-9802

Phone(813) 968-7188

Fax(813) 715-9802

Organization SubpartNo

Authorized OfficialCindi GermondAdministrative Assistant · (813) 715-9802

Enumeration DateJanuary 24, 2013

✔ NPI 1922346030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers

Taxonomy Code103TP0016X

License✔ Licensed in FL · ME0055695

Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

16554 N DALE MABRY HWY, Tampa, FL 33618

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Other Names 1

Former Legal Business NameBruce J Edson Md

Other Identifiers 2

Medicare UPINE89932FL

Medicare PIN12668FL

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bruce J Edson Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bruce J Edson MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Bruce Edson, MD

Psychiatry

NPI 1528129913

16554 DALE MABRY HIGHWAY N
Tampa, FL 33618

(813) 968-7188

✔ PECOS0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Bruce J Edson MD PA's NPI number?

The NPI number for Bruce J Edson MD PA is 1922346030. It was assigned to this organization in the NPPES registry on January 24, 2013. The provider was formerly known as Bruce J Edson MD.

Where is Bruce J Edson MD PA located?

Bruce J Edson MD PA is located at 16554 N Dale Mabry Hwy, Tampa, FL 33618. The listed phone number is (813) 968-7188.

What is Bruce J Edson MD PA's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Is Bruce J Edson MD PA enrolled in Medicare?

Yes. Bruce J Edson MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bruce J Edson MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Psychiatry) reassigns their Medicare billing to Bruce J Edson MD PA. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bruce J Edson MD PA was last updated on January 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.