Individual provider Active NPI

Bret W Frey, MD

  • Emergency Medicine Physician
  • Reno, NV
National Provider Identifier
1154380962
Registry record updated Apr 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
10513 Issued in NV
Practice address
1155 Mill St
Reno, NV 89502-1576
Phone
(775) 982-4100
NPI assigned
Mar 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 10513 NV
Emergency Medicine Physician 207P00000X 10513 NV Primary

Addresses

Primary practice location

1155 Mill St
Reno, NV 89502-1576

Mailing address

832 Willow St
Reno, NV 89502-1304

Other identifiers 2

IdentifierTypeStateIssuer
100500358MedicaidNV
CC9255OtherNVBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, CA2 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
I20040519000359 NV Practitioner - Emergency Medicine 8921099060 Reassigns benefits to 1 organization
I20140310000012 CA Practitioner - Emergency Medicine 8921099060 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
California Emergency Physicians Medical Group, a Professional Corp Emergency Medicine CurrentSince Nov 22, 2013 Accepting new patients
Brown, Calvanese, Cameron LTD Emergency Medicine CurrentSince Jun 1, 2005 Accepting new patients
California Emergency Physicians Medical Group a Professional Corp CurrentSince Nov 22, 2013 Accepting new patients
Southwest Emergency Services, Inc. Emergency Medicine Past Accepting new patients

Locations

2100 Powell St
Ste 920
Emeryville, CA 94608
Phone (510) 350-2698

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

2104 N Village Dr
Ste L
Truckee, CA 96161
Phone (530) 582-6594

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

832 Willow St
Reno, NV 89502
Phone (775) 324-4040

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271808000000",
    "number": "1154380962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "832 WILLOW ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1155 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "BRET",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2010-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NV",
            "license": "10513",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "10513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500358",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "CC9255",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.