Frazier T Fortenberry Jr MD PLC

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

FRAZIER T FORTENBERRY JR MD PLC

Practice address

630 Peter Jefferson Pkwy
Suite 135
Charlottesville, VA 22911-8605

Phone

(434) 244-5722

Fax

(434) 244-5723

NPI assigned

Jul 10, 2006

Last updated

Aug 9, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Frazier T Fortenberry Jr., MDNPI 1376530816

Title

Owner

Phone

(434) 244-5722

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Frazier T Fortenberry Jr., MD

  • Urology Physician
  • Charlottesville, VA
  • NPI 1376530816
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312848000000",
    "number": "1215960224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 PETER JEFFERSON PKWY",
            "address_2": "SUITE 135",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118605",
            "telephone_number": "434-244-5722",
            "fax_number": "434-244-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 PETER JEFFERSON PKWY",
            "address_2": "SUITE 135",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "229118605",
            "telephone_number": "434-244-5722",
            "fax_number": "434-244-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRAZIER T FORTENBERRY JR MD PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-10",
        "last_updated": "2011-08-09",
        "status": "A",
        "authorized_official_last_name": "FORTENBERRY",
        "authorized_official_first_name": "FRAZIER",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "434-244-5722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "DA1531",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bennet David Franz, MD
• Kathy Jean Frase, CRNA
• Peter Zvarych Fraser-Morris, MDIV
• Deborah Hale Fraser, LCSW
• Jamie L Fraser, MD
• Evelyn Frazier, MD
• Heather K Frazier, MD
• Jacob Lee Frazier, BCBA, LBA
• Katheryn Ferris Frazier, MD
• Marian S Fredner, M.S.

• Urology Physician in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Urology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.