EDGER V POTTER JR MD INC NPI 1376735100

NPI Information

  • NPI: 1376735100
  • Provider Name: EDGER V POTTER JR MD INC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • Address: 12017 FORT WASHINGTON RD
    FORT WASHINGTON, MD
    ZIP 20744
  • Phone: (301) 203-9570

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NPI Details

EDGER V POTTER JR MD INC is an internal medicine in Fort Washington, MD. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. EDGER V POTTER JR MD INC NPI is 1376735100. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

12017 FORT WASHINGTON RD
FORT WASHINGTON, MD
ZIP 20744-004
Phone: (301) 203-9570
Fax: (301) 203-1796

The provider's authorized official is Edger Verdan Potter .
The authorized official title is President and has the following contact phone number (301) 203-9570.

The enumeration date for this NPI number is 8/15/2007 and was last updated on 9/16/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207QG0300XFamily MedicineGeriatric MedicineMD9565DISTRICT OF COLUMBIANo
2207RR0500XInternal MedicineRheumatologyMD9565DISTRICT OF COLUMBIANo
3207R00000XInternal MedicineMD9565DISTRICT OF COLUMBIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1B94575MEDICARE UPINDISTRICT OF COLUMBIA
2260891000MEDICAIDMARYLAND
3723077MEDICARE PINDISTRICT OF COLUMBIA
4023634400MEDICAIDDISTRICT OF COLUMBIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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