Michael Freckleton, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

J7488 Issued in TX

Practice address

7909 Fredericksburg Rd
Suite #127
San Antonio, TX 78229-3425

Phone

(210) 614-4544

NPI assigned

Aug 24, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Mdiagnostics

  • Radiology Clinic/Center
  • Dallas, TX
  • NPI 1740373497
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241568000000",
    "number": "1053428045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15123 CHINQUAPIN",
            "city": "HELOTES",
            "state": "TX",
            "postal_code": "78023",
            "telephone_number": "210-887-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7909 FREDERICKSBURG RD",
            "address_2": "SUITE #127",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293425",
            "telephone_number": "210-614-4544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRECKLETON",
        "first_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2009-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J7488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104056003",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIDC",
            "identifier": "104056004",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kathryn Renee Frazier, LPC-S, NCC
• Kendall Michele Frazier, PA-C
• Mahogani Areli Frazier
• Virginia Frazier, HSCW
• Gary Leon Frech, PHARMACIST
• Iliana Fred-Miranda, MD
• Freddie USA of New Jersey PC
• Freddy Angulo, M.D., P.a.
• Bianca Maureen Frederick, DDS
• Melanie C. Frederick, MD

• Diagnostic Radiology Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.