Individual provider Active NPI

Lee Stephen Fruman, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Franklin, MI
National Provider Identifier
1063563187
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
4301036639 Issued in MI
Practice address
24670 S Cromwell Dr
Franklin, MI 48025-1644
Phone
(248) 207-7866
Fax
(248) 851-8412
NPI assigned
Jan 15, 2007
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Family Medicine) Physician 207QS0010X 4301036639 MI Primary

Addresses

Primary practice location

24670 S Cromwell Dr
Franklin, MI 48025-1644

Mailing address

24670 S Cromwell Dr
Franklin, MI 48025-1644
Phone (248) 207-7866

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301036639MIMDSports Medicine (Family Medicine) Physician

NPI Registry JSON

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

{
    "created_epoch": "1168819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1063563187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24670 S CROMWELL DR",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480251644",
            "telephone_number": "248-207-7866",
            "fax_number": "248-851-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24670 S CROMWELL DR",
            "city": "FRANKLIN",
            "state": "MI",
            "postal_code": "480251644",
            "telephone_number": "248-207-7866",
            "fax_number": "248-851-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUMAN",
        "first_name": "LEE",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "MI",
            "license": "4301036639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.