Jeffery Paul Frey, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MDR2P98 Issued in MO

Practice address

1123 Wilkes Blvd Ste 110
Columbia, MO 65201-4774

Phone

(573) 514-7312

Fax

(573) 242-6427

NPI assigned

May 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Rain-Central Missouri, Inc.

  • Community Health Clinic/Center
  • Columbia, MO
  • NPI 1720407505
  NPD (past)

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1326006511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 WILKES BLVD STE 110",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014774",
            "telephone_number": "573-514-7312",
            "fax_number": "573-242-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1123 WILKES BLVD STE 110",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652014774",
            "telephone_number": "573-514-7312",
            "fax_number": "573-242-6427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "204 N Keene St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MO",
            "postal_code": "652018102",
            "country_code": "US",
            "telephone_number": "573-442-0320",
            "fax_number": "573-442-0421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FREY",
        "first_name": "JEFFERY",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "R2P98",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "MDR2P98",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203205802",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gabrielle French-Coffee, MT-BC
• Brandi R French, MD
• Nadine Claire Freshman, RD, LD
• Lauren Freund, FNP-C
• Grace Erin Frevert
• Dustin Frieda
• Samantha Dawn Friedman, M.D.
• Kristina Diane Friedrich, BCBA
• Bonnie S Friehling, M.D.
• Nora E Frier, CRAADC

• Internal Medicine Physician in Columbia, MO
• Providers in Columbia, MO by specialty
• Internal Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.