Active NPI
Ian Blair Fries, M.D.
- Orthopaedic Surgery Physician
- Vero Beach, FL
National Provider Identifier
1255778189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 0064060
- Practice address
- 1480 Highway A1A
Fries Professional Building
Vero Beach, FL 32963-2310 - Phone
- (732) 801-8139
- NPI assigned
- Jun 1, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 0064060 | FL | Primary |
| Orthopaedic Surgery Physician | 207X00000X | MA 032823 | NJ | |
| Orthopaedic Surgery Physician | 207X00000X | 97-00430 | NC |
Addresses
Primary practice location
1480 Highway A1A
Fries Professional Building
Vero Beach, FL 32963-2310
Mailing address
1480 Highway A1A
Fries Professional Building
Vero Beach, FL 32963-2310
Phone (732) 801-8139
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0064060 | FL | MD | Orthopaedic Surgery Physician |
| 97-00430 | NC | MD | Orthopaedic Surgery Physician |
| MA 032823 | NJ | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370044800000",
"number": "1255778189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1480 HIGHWAY A1A",
"address_2": "FRIES PROFESSIONAL BUILDING",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329632310",
"telephone_number": "732-801-8139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1480 HIGHWAY A1A",
"address_2": "FRIES PROFESSIONAL BUILDING",
"city": "VERO BEACH",
"state": "FL",
"postal_code": "329632310",
"telephone_number": "732-801-8139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIES",
"first_name": "IAN",
"middle_name": "BLAIR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-06-01",
"last_updated": "2013-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "0064060",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NJ",
"license": "MA 032823",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NC",
"license": "97-00430",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vero Beach, FL
- Gabrielle E Freeman
- Fresenius Medical Care Comprehensive CKD Services Inc (CKD Services of Vero Beach)
- Fresenius Medical Care Vero Beach, LLC (Fresenius Kidney Care Vero Beach)
- Fresh Horizons Alf
- Allen Paul Friedenstab, M.D.
- Susan Blair Fries, D.C.
- April Fritz
- Elizabeth Ann Fryer, PT, DPT
- Roxana Fugleberg, PT
- Yevgeniy Furman
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.