Brandon Dale Frodge, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN013484 Issued in GA

Practice address

5075 Peachtree Pkwy
Suite 105-B
Norcross, GA 30092-6508

Phone

(770) 448-9333

Fax

(678) 990-0359

NPI assigned

Apr 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Imagix 2 Dental

  • Dentist
  • Norcross, GA
  • NPI 1952407397
  NPD (past)

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458691200000",
    "number": "1174748669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1418 DRESDEN DR NE",
            "address_2": "UNIT 205",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303197000",
            "telephone_number": "404-618-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5075 PEACHTREE PKWY",
            "address_2": "SUITE 105-B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300926508",
            "telephone_number": "770-448-9333",
            "fax_number": "678-990-0359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRODGE",
        "first_name": "BRANDON",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2016-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "GA",
            "license": "DN013484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ebony Geraldine Freeman
• Kateece Freeman, LPC
• Neale P Freeman, M.D.
• Zoila Calas Freeman, ANP
• Elizabeth Anne Frilingos, M.ED., CCC-SLP
• Ying Fu
• Wendy Brannan Fuller, FNP
• Ga Care Prime LLC
• Ga Central Rehab Clinic LLC
• Gadsden Chiropractic

• Periodontics in Norcross, GA
• Providers in Norcross, GA by specialty
• Periodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2016; 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.

Verify at the official NPI Registry.