Active NPI
Dale Bernard Fruman, M.D.
- Psychiatry Physician
- Uniontown, PA
National Provider Identifier
1144211400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD009842E
- Practice address
- 50 W Main St
Suite701
Uniontown, PA 15401-3309 - Phone
- (724) 439-9698
- Fax
- (724) 439-9701
- NPI assigned
- Nov 4, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD009842E | PA | Primary |
Addresses
Primary practice location
50 W Main St
Suite701
Uniontown, PA 15401-3309
Mailing address
50 W Main St
Suite 704
Uniontown, PA 15401-3309
Phone (724) 439-9698
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0868978 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD009842E | PA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1144211400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 W MAIN ST",
"address_2": "SUITE 704",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154013309",
"telephone_number": "724-439-9698",
"fax_number": "724-439-9701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 W MAIN ST",
"address_2": "SUITE701",
"city": "UNIONTOWN",
"state": "PA",
"postal_code": "154013309",
"telephone_number": "724-439-9698",
"fax_number": "724-439-9701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRUMAN",
"first_name": "DALE",
"middle_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-04",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "PA",
"license": "MD009842E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0868978",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Uniontown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.