Individual provider Active NPI

Robert Fried, MD

  • Family Medicine Physician
  • Oak Ridge, NC
National Provider Identifier
1013095330
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
25798 Issued in 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
Last updated
Apr 9, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 25798 NC Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robert.fried@eaglep.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100506000482 NC Practitioner - Family Practice 4385734474 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
25798NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Physicians and Associates PA Family Medicine Current Accepting new patients
Eagle Physicians and Associates PA CurrentSince Nov 6, 2000 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
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

Interoperability endpoints

  • Direct secure messaging: robert.fried@eaglep.eclinicaldirectplus.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1013095330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14883",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274154883",
            "telephone_number": "336-644-0111",
            "fax_number": "336-644-0085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 NC HIGHWAY 68 N",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273109733",
            "telephone_number": "336-644-0111",
            "fax_number": "336-644-0085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIED",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "25798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.fried@eaglep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "324 W Wendover Ave Ste 211",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274088438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oak Ridge, NC

Sources for this page

Verify at the official NPI Registry.