Organization Active NPI

Ryan W. Frieben, M.D., PA

  • Urology Physician
  • Brenham, TX
National Provider Identifier
1083059026
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
P4952 Issued in TX
Legal business name
RYAN W. FRIEBEN, M.D., PA
Practice address
633 Medical Pkwy
Brenham, TX 77833-5412
Phone
(979) 830-1014
Fax
(979) 836-9103
NPI assigned
May 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Authorized official

Name
Dr. Ryan William Frieben, M.D.NPI 1811247950
Title
Senior Partner
Phone
(979) 830-1014

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)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X P4952 TX Primary

Addresses

Primary practice location

633 Medical Pkwy
Brenham, TX 77833-5412

Mailing address

633 Medical Pkwy
Brenham, TX 77833-5412
Phone (979) 830-1014

Other practice location 1

2122 Highway 71 S Ste 203
Columbus, TX 78934-3011
Phone (979) 830-1014

Other practice location 2

235 W Palm St Ste 207
Bellville, TX 77418-1372
Phone (979) 830-1014

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130906000672 TX Part B Supplier - Clinic/Group Practice 7416190640 Receives reassigned benefits from 2 practitioners
Practice locations: Columbus, TX; Brenham, TX; Bellville, TX

National Provider Directory

National Provider Directory

Locations

235 W Palm St
Ste 207
Bellville, TX 77418
Phone (979) 830-1014

2122 Highway 71 S
Ste 203
Columbus, TX 78934
Phone (281) 980-1282

Interoperability endpoints

  • Direct secure messaging: ryanfrieben@friebenuro.medalliesdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/EDCHDD

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1367539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706745600000",
    "number": "1083059026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "633 MEDICAL PKWY",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335412",
            "telephone_number": "979-830-1014",
            "fax_number": "979-836-9103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "633 MEDICAL PKWY",
            "city": "BRENHAM",
            "state": "TX",
            "postal_code": "778335412",
            "telephone_number": "979-830-1014",
            "fax_number": "979-836-9103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 Highway 71 S Ste 203",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "TX",
            "postal_code": "789343011",
            "country_code": "US",
            "telephone_number": "979-830-1014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 W Palm St Ste 207",
            "address_purpose": "LOCATION",
            "city": "Bellville",
            "state": "TX",
            "postal_code": "774181372",
            "country_code": "US",
            "telephone_number": "979-830-1014",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RYAN W. FRIEBEN, M.D., PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-03",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A",
        "authorized_official_last_name": "FRIEBEN",
        "authorized_official_first_name": "RYAN",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "SENIOR PARTNER",
        "authorized_official_telephone_number": "979-830-1014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "TX",
            "license": "P4952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brenham, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.

Verify at the official NPI Registry.