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

Dr. Edwin Medina, MD

Individual provider Family Medicine Physician · NPI 1356487201

Dr. Edwin Medina, MD is a Family Practice in Malta, Montana. Qualified in 1982, 44 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
44
Licensed in
MT
In the registry since
2007
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

830 S Central Ave
Malta, MT 59538
Phone: (406) 390-2596
Fax: (406) 654-2571
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 9635 (MT)

Record details

NPI number1356487201
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 29, 2007
Last updated in NPPESJanuary 18, 2023
Certification dateAugust 2, 2022
Mailing addressPo Box 1235, Malta, MT 59538-1235

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1982 (44 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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