Individual provider Active NPI

Stephen Brent Fritts

  • Diagnostic Radiology Physician
  • Sheffield, AL
National Provider Identifier
1316989254
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
00011444 Issued in AL
Practice address
1300 South Montgomery Avenue
Sheffield, AL 35660-6334
Phone
(256) 381-0400
Fax
(256) 386-0065
NPI assigned
Jun 12, 2006
Last updated
Feb 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 00011444 AL Primary

Addresses

Primary practice location

1300 South Montgomery Avenue
Sheffield, AL 35660-6334

Mailing address

Post Office Box 229
Sheffield, AL 35660-0229
Phone (256) 381-0400

Other identifiers 3

IdentifierTypeStateIssuer
00121825MedicaidMS
009923395MedicaidAL
51539365OtherALBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00011444ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Radiological Associates, P.C. Diagnostic Radiology CurrentSince Oct 1, 2000 Accepting new patients

Locations

1300 S Montgomery Ave
Sheffield, AL 35660
Phone (256) 386-4005

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1316989254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POST OFFICE BOX 229",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356600229",
            "telephone_number": "256-381-0400",
            "fax_number": "256-386-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 SOUTH MONTGOMERY AVENUE",
            "city": "SHEFFIELD",
            "state": "AL",
            "postal_code": "356606334",
            "telephone_number": "256-381-0400",
            "fax_number": "256-386-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRITTS",
        "first_name": "STEPHEN",
        "middle_name": "BRENT",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "00011444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00121825",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009923395",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51539365",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheffield, AL

Sources for this page

Verify at the official NPI Registry.