Brian N Frey, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DS030865L Issued in PA

Practice address

1150 Berkshire Blvd
Suite 120
Wyomissing, PA 19610-1208

Phone

(610) 376-1536

Fax

(610) 376-4241

NPI assigned

Oct 2, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 20, 2018 through Apr 20, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Berks Endodontics, LTD.

  • Endodontics
  • Wyomissing, PA
  • NPI 1265649578
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043303191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 BERKSHIRE BLVD",
            "address_2": "SUITE 120",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101208",
            "telephone_number": "610-376-1536",
            "fax_number": "610-376-4241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 BERKSHIRE BLVD",
            "address_2": "SUITE 120",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196101208",
            "telephone_number": "610-376-1536",
            "fax_number": "610-376-4241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "BRIAN",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS030865L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Bonnielee Fredericksen
• Free Speak Therapy LLC
• Fresenius Medical Care Reading, LLC (Fresenius Kidney Care of Reading)
• Fresenius Medical Care Wyomissing, LLC (Fresenius Kidney Care Wyomissing)
• Fresenius Medical Care Wyomissing, LLC (Fresenius Kidney Care Pennsylvania Dialysis Center Reading)
• Laura Marie Fritts, MS LMFT
• Cheryl Pagaran Fromuth, PT
• Katherine Fronheiser, BCBA
• Angela Frymoyer
• Alivia A Fulk

• Endodontics in Wyomissing, PA
• Providers in Wyomissing, PA by specialty
• Endodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.