Active NPI
David B Fraser, PA
- Family Medicine Physician
- Carrollton, TX
National Provider Identifier
1275733768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- PA01349
- Practice address
- 4333 N Josey LN
# 302
Carrollton, TX 75010-4629 - Phone
- (972) 394-8844
- NPI assigned
- Jul 23, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PA01349 | TX | Primary |
Addresses
Primary practice location
4333 N Josey LN
# 302
Carrollton, TX 75010-4629
Mailing address
4333 N Josey LN
# 302
Carrollton, TX 75010-4629
Phone (972) 394-8844
Other practice location 1
6124 W Parker Rd Ste 138
Plano, TX 75093-8124
Phone (972) 981-7000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
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.
-
- Family Medicine Physician
- Plano, TX
- NPI 1053512400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702944000000",
"number": "1275733768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4333 N JOSEY LN",
"address_2": "# 302",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104629",
"telephone_number": "972-394-8844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4333 N JOSEY LN",
"address_2": "# 302",
"city": "CARROLLTON",
"state": "TX",
"postal_code": "750104629",
"telephone_number": "972-394-8844"
}
],
"practiceLocations": [
{
"address_1": "6124 W Parker Rd Ste 138",
"address_purpose": "LOCATION",
"city": "Plano",
"state": "TX",
"postal_code": "750938124",
"country_code": "US",
"telephone_number": "972-981-7000",
"fax_number": "972-981-7001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRASER",
"first_name": "DAVID",
"middle_name": "B",
"credential": "PA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-23",
"last_updated": "2023-12-19",
"certification_date": "2023-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "PA01349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carrollton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.