Mark Alexander Fruendt, D.O.
Individual provider Active NPI Family Medicine Physician · Huntsville, AL
NPI 1306164223 · NPPES record last updated Aug 15, 2024
Key facts
- NPI
- 1306164223
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- L.3347R (AL)
- Practice address
- 3319C Memorial Pkwy SW
Huntsville, AL 35801-5342 - Phone
- (256) 489-5838
- Fax
- (256) 489-5830
- NPI assigned
- May 17, 2010
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
3319 C Memorial Pkwy SW
Huntsville, AL 35801-5342
Phone (256) 489-5838
Hospital & facility affiliations
- Huntsville Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050628001349 | AL | Practitioner - Family Practice |
5294778841 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L.3347R | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| After Hours Clinic Inc Sumiton | Family Medicine | Current |
Accepting new patients |
| Cooper Green Mercy Health Services Authority an Affiliate of Uab | Current |
Accepting new patients | |
| United Doctors Family Medical Center LLC | Current |
Accepting new patients | |
| PDQ Urgent Care PC | Family Medicine | Current |
Accepting new patients |
| Cooper Green Mercy Health Services Authority an Affiliate of Uab | Current |
Accepting new patients | |
| After Hours Clinic Inc | Family Medicine | Past | Accepting new patients |
Locations
3442 US Highway 431
Albertville, AL 35950
Phone (256) 593-1234
1509 6th Ave S
Birmingham, AL 35233
Phone (205) 930-3200
3319C Memorial Pkwy SW
Huntsville, AL 35801
Phone (256) 213-9922
385 Bryan Rd
Ste 140
Sumiton, AL 35148
Phone (205) 648-0240
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | L.3347R | AL | Yes |
Addresses
Primary practice location
3319C Memorial Pkwy SW
Huntsville, AL 35801-5342
Mailing address
2060 Rescue Rd
Union Grove, AL 35175-5130
Phone (256) 542-2084
Other providers in Huntsville, AL
- Casey Friend
- Jeronica D Frierson
- Patricia L Frierson
- Katie A Fritz
- Ashley Froscello I
- Michael Dale Fruendt
- Kristie Walker Fry
- Paul Jeffrey Fry
- Sarah Frye
- Susie Renee Fryer
All providers in Huntsville, AL · Family Medicine Physician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.