Individual provider Active NPI

Jonathan Eric Freier

  • Durable Medical Equipment & Medical Supplies
  • Winston Salem, NC
National Provider Identifier
1275249708
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
601457521 Issued in NC
Practice address
2542 Somerset Center Dr
Winston Salem, NC 27103-6766
Phone
(336) 918-4545
NPI assigned
Jan 27, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 601457521 NC Primary

Addresses

Primary practice location

2542 Somerset Center Dr
Winston Salem, NC 27103-6766

Mailing address

2542 Somerset Center Dr
Winston Salem, NC 27103-6766
Phone (336) 918-4545

Other identifiers 1

IdentifierTypeStateIssuer
D00220294OtherAZSTATE DRIVER'S LICENSE

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
601457521NCMDDurable Medical Equipment & Medical Supplies

Practice roles

OrganizationSpecialtyStatusNew patients
Embrace Medical Supply and DME Repair LLC Durable Medical Equipment & Medical Supplies CurrentSince Nov 17, 2024 Accepting new patients

Locations

2542 Somerset Center Dr
Winston Salem, NC 27103
Phone (336) 918-4545

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1674777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1275249708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2542 SOMERSET CENTER DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036766",
            "telephone_number": "336-918-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2542 SOMERSET CENTER DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036766",
            "telephone_number": "336-918-4545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREIER",
        "first_name": "JONATHAN",
        "middle_name": "ERIC",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-27",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NC",
            "license": "601457521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE DRIVER'S LICENSE",
            "identifier": "D00220294",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2023; 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.