Bryan D Freiberg, LAC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

LAC-010086 Issued in AZ

Practice address

2520 San Juan Dr
Lake Havasu City, AZ 86403-3142

Phone

(808) 754-5335

NPI assigned

Jul 12, 2021

Last updated

Jul 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1235701095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 SAN JUAN DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864033142",
            "telephone_number": "808-754-5335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 SAN JUAN DR",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864033142",
            "telephone_number": "808-754-5335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIBERG",
        "first_name": "BRYAN",
        "middle_name": "D",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "AZ",
            "license": "LAC-010086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• FPS Medical Center LTD
• Lindsay Michelle Franks, FNP
• Sarah Fraser, CNIM,REEGT,EPT
• Frederic Luo, MD, Msee, Inc
• Jack C. Fredrickson, D.D.S.
• Frontier Wellness, LLC
• Katelyn Marie Frost, PHARMD
• Alisha M Fulker, P.T., DPT
• Allison Nicole Fuller
• Edward P Fuller, MD

• Acupuncturist in Lake Havasu City, AZ
• Providers in Lake Havasu City, AZ by specialty
• Acupuncturist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.