Individual provider Active NPI

Bryant Freay, LMT

  • Contractor
  • Hialeah, FL
National Provider Identifier
1235383621
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
MA52208 Issued in FL
Practice address
18642 NW 67TH Ave
Hialeah, FL 33015-2406
Phone
(551) 404-1584
NPI assigned
Nov 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X MA52208 FL Primary

Addresses

Primary practice location

18642 NW 67TH Ave
Hialeah, FL 33015-2406

Mailing address

16400 Golf Club Rd Apt 111
Weston, FL 33326-1668
Phone (551) 404-1584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA52208FLMDContractor

NPI Registry JSON

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

{
    "created_epoch": "1226361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226361600000",
    "number": "1235383621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16400 GOLF CLUB RD APT 111",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261668",
            "telephone_number": "551-404-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18642 NW 67TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330152406",
            "telephone_number": "551-404-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREAY",
        "first_name": "BRYANT",
        "name_prefix": "Mr.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-11",
        "last_updated": "2008-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "FL",
            "license": "MA52208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.