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

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
Mailing addressPo Box 340581, Brooklyn, NY 11234-0581

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