Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Randolph Anthony Edwards, MD

Individual provider Surgery Physician · NPI 1295711141

Randolph Anthony Edwards, MD is a Surgery Physician in Brooklyn, New York. Licensed in Minnesota and Washington. Registered with an NPI since 2005.

Licensed in
MN, WA
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1332 E 104th St
Brooklyn, NY 11236-4508
Phone: (507) 279-2052
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 32957 (MN)
Surgery Physician Taxonomy 208600000X · Licence MD60178868 (WA)

Record details

NPI number1295711141
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 21, 2005
Last updated in NPPESFebruary 13, 2014

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