Robert Fried, MD
Individual provider Active NPI Family Medicine Physician · Oak Ridge, NC
NPI 1013095330 · NPPES record last updated Apr 9, 2021
Key facts
- NPI
- 1013095330
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 25798 (NC)
- Practice address
- 1510 NC Highway 68 N
Oak Ridge, NC 27310-9733 - Phone
- (336) 644-0111
- Fax
- (336) 644-0085
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100506000482 | NC | Practitioner - Family Practice | 4385734474 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Physicians and Associates PA | Current |
Accepting new patients | |
| Eagle Physicians and Associates PA | Family Medicine | Current | Accepting new patients |
| Eagle Physicians and Associates PA | Past | Accepting new patients | |
| Eagle Physicians and Associates PA | Past | Accepting new patients | |
| Eagle Physicians and Associates PA | Family Medicine | Past | Accepting new patients |
| Eagle Physicians and Associates PA | Past | Accepting new patients |
Locations
324 W Wendover Ave
Ste 200
Greensboro, NC 27408
Phone (336) 274-6515
1510 NC Highway 68 N
Oak Ridge, NC 27310
Phone (336) 644-0111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 25798 | NC | Yes |
Addresses
Primary practice location
1510 NC Highway 68 N
Oak Ridge, NC 27310-9733
Mailing address
PO Box 14883
Greensboro, NC 27415-4883
Phone (336) 644-0111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22381 | Other | NC | PARTNERS MEDICARE |
| 77008 | Other | NC | MEDCOST |
| 891111N | Medicaid | NC | |
| 1111N | Other | NC | BCBS OF NC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | robert.fried@eaglep.eclinicaldirectplus.com |
Other providers in Oak Ridge, NC
- First Choice of North Carolina, LLC
- Rufus Fish III
- Angela B Ford
- Beck M Foster
- Erica Halcyon Freve
- Cathy Wilson Fuquay
- Zakiera Gaines
- Jonathan Grayson
- Sarah Gregory
- Emilea Gross
All providers in Oak Ridge, NC · Family Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.