Bradley Duane Frey, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

009322 Issued in NY

Practice address

4 Fuller St
Alexandria Bay, NY 13607-1391

Phone

(315) 482-1203

Fax

(315) 482-4911

NPI assigned

Nov 22, 2005

Last updated

Feb 12, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bfrey@hiemail.healtheconnections.org
• Direct secure messaging: bfrey@riverhospital.org

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Claxton-Hepburn Medical Center

  dba Practice Resources LLC

  • Psychiatric Hospital
  • Ogdensburg, NY
  • NPI 1891753034

  Corporate Director

  CMS ownership

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.

• River Hospital, Inc.

  • Critical Access Hospital
  • Alexandria Bay, NY
  • NPI 1003814641
  Medicare reassignment
• River Hospital, Inc.

  • Rural Health Clinic/Center
  • Alexandria Bay, NY
  • NPI 1831452994
  NPD

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707696000000",
    "number": "1013990209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 FULLER ST",
            "city": "ALEXANDRIA BAY",
            "state": "NY",
            "postal_code": "136071391",
            "telephone_number": "315-482-1277",
            "fax_number": "315-482-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 FULLER ST",
            "city": "ALEXANDRIA BAY",
            "state": "NY",
            "postal_code": "136071391",
            "telephone_number": "315-482-1203",
            "fax_number": "315-482-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "BRADLEY",
        "middle_name": "DUANE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bfrey@riverhospital.org",
            "affiliation": "N",
            "endpointDescription": "Work email address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4 Fuller St",
            "city": "Alexandria Bay",
            "state": "NY",
            "country_code": "US",
            "postal_code": "136071391",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Patricia Desjarlais, PMHNP
• Julia Ann Erck
• Gloria Ann Fisher, REGISTERED NURSE
• Kaitlin M. Ford, MSW
• Nickolas Frears, DPT
• Tejla Marie Giles, PHARM D
• Nancy A Girard, DO
• Shelby Gonsalves, LPMFT
• Abbie Dolores Hannigan
• Gabriella Haycock

• Physician Assistant in Alexandria Bay, NY
• Providers in Alexandria Bay, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.