Active NPI
Alan R Freedman DC PA
- Chiropractor
- Pembroke Pines, FL
National Provider Identifier
1033105770
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH0006528
- Legal business name
- ALAN R FREEDMAN DC PA
- Practice address
- 190 S University Dr
Pembroke Pines, FL 33025-2234 - Phone
- (954) 433-0300
- Fax
- (954) 433-8268
- NPI assigned
- Sep 27, 2005
- Last updated
- Sep 10, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Alan Robert Freedman, DC
- Title
- President/Owner
- Phone
- (954) 433-0300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH0006528 | FL | Primary |
Addresses
Primary practice location
190 S University Dr
Pembroke Pines, FL 33025-2234
Mailing address
190 S University Dr
Pembroke Pines, FL 33025-2234
Phone (954) 433-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 019191600 | Medicaid | FL |
Other names 1
- Alan R Fredman DC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
190 S University Dr
Pembroke Pines, FL 33025
Phone (954) 392-7703
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Chiropractor
- Pembroke Pines, FL
- NPI 1477600989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1568073600000",
"number": "1033105770",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 S UNIVERSITY DR",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330252234",
"telephone_number": "954-433-0300",
"fax_number": "954-433-8268"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 S UNIVERSITY DR",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330252234",
"telephone_number": "954-433-0300",
"fax_number": "954-433-8268"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALAN R FREEDMAN DC PA",
"organizational_subpart": "NO",
"enumeration_date": "2005-09-27",
"last_updated": "2019-09-10",
"status": "A",
"authorized_official_last_name": "FREEDMAN",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "ROBERT",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "954-433-0300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "FL",
"license": "CH0006528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "019191600",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Alan R Fredman DC",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Alan R Fredman DC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pembroke Pines, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.