Individual provider Active NPI

Paul Jeffrey Fry, M.D.

  • Diagnostic Radiology Physician
  • Huntsville, AL
National Provider Identifier
1144203134
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
18086 Issued in AL
Practice address
2006 Franklin St SE
Suite 200
Huntsville, AL 35801-4551
Phone
(256) 539-0457
Fax
(256) 539-5827
NPI assigned
Nov 22, 2005
Last updated
Mar 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 74007 GA
Diagnostic Radiology Physician 2085R0202X 15045 AL
Diagnostic Radiology Physician 2085R0202X 30312 TN
Diagnostic Radiology Physician 2085R0202X 18086 AL Primary

Addresses

Primary practice location

2006 Franklin St SE
Suite 200
Huntsville, AL 35801-4551

Mailing address

2006 Franklin St SE
Suite 200
Huntsville, AL 35801-4551
Phone (256) 539-0457

Other practice location 1

700 W Market St
Athens, AL 35611-2422
Phone (256) 233-9292

Other practice location 2

700 W Market Street, 2 South
Athens, AL 35611-2457
Phone (256) 262-6767

Other practice location 3

1802 6th Ave S
Birmingham, AL 35233-1932
Phone (205) 934-3441

Other practice location 4

185 Hospital Rd
Winchester, TN 37398-2404
Phone (931) 967-8200

Other practice location 5

106 Medical Center Blvd
Fayetteville, TN 37334-2684
Phone (931) 438-1100

Other practice location 6

1201 7th St SE
Decatur, AL 35601-3337
Phone (256) 973-2000

Other practice location 7

101 Sivley Rd SW
Huntsville, AL 35801-4470
Phone (256) 265-1000

Other practice location 8

202 Hospital St
Moulton, AL 35650-1218
Phone (256) 974-2200

Other practice location 9

115 Saint Clair Ave SE
Huntsville, AL 35801-4343
Phone (256) 534-5600

Other practice location 10

3601 Cci Dr NW Ste 20
Huntsville, AL 35805-2609
Phone (256) 705-4224

Other practice location 11

2003 Whitesburg Dr SE
Huntsville, AL 35801-4543
Phone (256) 536-3550

Other practice location 12

528 Madison St SE
Huntsville, AL 35801-4205
Phone (256) 533-3200

Other practice location 13

1 Hospital Dr SW
Huntsville, AL 35801-6455
Phone (256) 429-4000

Other practice location 14

380 Woods Cove Rd
Scottsboro, AL 35768-2428
Phone (256) 259-4444

Other identifiers 28

IdentifierTypeStateIssuer
57272MedicaidAL
248105MedicaidAL
248673MedicaidAL
51595663OtherALBCBS
57219MedicaidAL
890-51501OtherALBCBS
212149MedicaidAL
51100053OtherALBCBS
57270MedicaidAL
126703MedicaidAL
247866MedicaidAL
51057271OtherALBCBS
51057272OtherALBCBS
57271MedicaidAL
890-43468OtherALBCBS
10910913OtherCAQH
247645MedicaidAL
247706MedicaidAL
4011004OtherTNBCBS
51057219OtherALBCBS
51057270OtherALBCBS
247545MedicaidAL
511-23900OtherALBCBS
009911116MedicaidAL
009942878MedicaidAL
135866MedicaidAL
240071MedicaidAL
51590038OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050222000807 AL Practitioner - Diagnostic Radiology 0648223347 Reassigns benefits to 2 organizations
I20171227001186 TN Practitioner - Diagnostic Radiology 0648223347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Tennessee, HSC, College of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology of Hunstville PCGroup PAC ID 2567458359, 64 clinicians

Practice addresses (Care Compare)

101 Sivley Rd SW
Huntsville, AL 35801-4421
Phone (256) 539-0457

2006 Franklin St SE
Huntsville, AL 35801-4537
Phone (256) 539-0457

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

700 Airport Rd SW
Suite H
Huntsville, AL 35802-4360
Phone 2565390457143

700 W Market St
Athens, AL 35611-2457
Phone (256) 539-0457

700 W Market St 2
Athens, AL 35611-2457
Phone (256) 539-0457

8375 Hwy 72 W
Madison, AL 35758-9573
Phone (256) 539-0457

910 Adams St SE
Suite 110
Huntsville, AL 35801-3751
Phone (256) 539-0457

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.44 of 100Reported as group
Quality
100
Improvement activities
40
Cost
41.46

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15045ALMDPharmacist
18086ALMDDiagnostic Radiology Physician
74007GAMDDiagnostic Radiology Physician
30312TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Open MRI of Decatur LLC CurrentSince Sep 5, 2018 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Jan 1, 2019 Accepting new patients
Diagnostic Health MRI of Gadsden, LLC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Radiology of Hunstville PC Diagnostic Radiology CurrentSince Oct 1, 2000 Accepting new patients
Bioimaging of Huntsville Inc Diagnostic Radiology PastSince Apr 8, 2017 Accepting new patients

Locations (25 of 27)

22281 US Highway 72
Ste B
Athens, AL 35613
Phone (256) 216-5461

700 W Market St
Athens, AL 35611
Phone (256) 233-9292

700 W Market St
#2S
Athens, AL 35611
Phone (256) 233-9292

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

1201 13th Ave SE
Decatur, AL 35601
Phone (256) 350-7777

1811 Beltline Rd SW
Decatur, AL 35601
Phone (256) 341-9300

1337 Burwell Rd
Harvest, AL 35749
Phone (256) 998-6820

1 Hospital Dr SW
Huntsville, AL 35801
Phone (256) 429-4000

101 Sivley Rd SW
Huntsville, AL 35801
Phone (256) 265-9870

115 Saint Clair Ave SE
Huntsville, AL 35801
Phone (256) 519-3650

1963 Memorial Pkwy SW
Huntsville, AL 35801
Phone (256) 265-7101

2003 Whitesburg Dr SE
Huntsville, AL 35801
Phone (256) 536-3550

2006 Franklin St SE
Ste 200
Huntsville, AL 35801
Phone (256) 538-0457

3601 Cci Dr NW
Huntsville, AL 35805
Phone (256) 539-3824

3601 Cci Dr NW
Ste 20
Huntsville, AL 35805

528 Madison St SE
Huntsville, AL 35801
Phone (205) 533-3200

911 Big Cove Rd SE
Huntsville, AL 35801
Phone (256) 265-8120

927 Franklin St SE
Huntsville, AL 35801
Phone (256) 428-3000

930 Franklin St SE
Huntsville, AL 35801

398 Hughes Rd
Madison, AL 35758
Phone (256) 461-8808

8415 Wann Dr NW
Madison, AL 35758
Phone (256) 704-1210

202 Hospital St
Moulton, AL 35650
Phone (256) 974-2200

262 Sutton Rd SE
Owens X Rds, AL 35763
Phone (256) 265-0350

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

Organizations & group practices 5

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

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    "enumeration_type": "NPI-1",
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            "country_code": "US",
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            "country_name": "United States",
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            "postal_code": "358014470",
            "country_code": "US",
            "telephone_number": "256-265-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Hospital St",
            "address_purpose": "LOCATION",
            "city": "Moulton",
            "state": "AL",
            "postal_code": "356501218",
            "country_code": "US",
            "telephone_number": "256-974-2200",
            "country_name": "United States",
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        {
            "address_1": "115 Saint Clair Ave SE",
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            "postal_code": "358014343",
            "country_code": "US",
            "telephone_number": "256-534-5600",
            "country_name": "United States",
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        },
        {
            "address_1": "3601 Cci Dr NW Ste 20",
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            "state": "AL",
            "postal_code": "358052609",
            "country_code": "US",
            "telephone_number": "256-705-4224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 Whitesburg Dr SE",
            "address_purpose": "LOCATION",
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            "telephone_number": "256-536-3550",
            "country_name": "United States",
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        },
        {
            "address_1": "528 Madison St SE",
            "address_purpose": "LOCATION",
            "city": "Huntsville",
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            "postal_code": "358014205",
            "country_code": "US",
            "telephone_number": "256-533-3200",
            "country_name": "United States",
            "address_type": "DOM"
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        {
            "address_1": "1 Hospital Dr SW",
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            "country_name": "United States",
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            "postal_code": "357682428",
            "country_code": "US",
            "telephone_number": "256-259-4444",
            "country_name": "United States",
            "address_type": "DOM"
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    ],
    "basic": {
        "last_name": "FRY",
        "first_name": "PAUL",
        "middle_name": "JEFFREY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A"
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            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "74007",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
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            "license": "15045",
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            "issuer": null,
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            "issuer": null,
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        {
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            "issuer": null,
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            "identifier": "890-51501",
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            "issuer": null,
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            "issuer": null,
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        {
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            "identifier": "51590038",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.