Free Range Direct Primary Care, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

FREE RANGE DIRECT PRIMARY CARE, PLLC

Practice address

4420 Ivy Commons
Charlottesville, VA 22903

Phone

(434) 337-5934

Fax

(434) 206-9595

NPI assigned

Sep 9, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Matthew Brent Johnson, DONPI 1801209713

Title

Family Physician/Owner

Phone

(434) 337-5934

Specialties & licenses 1

Addresses

Other names 1

• Free Range Direct Primary Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Johnson, D.O.

  • Family Medicine Physician
  • Lebanon, PA
  • NPI 1801209713
  NPD Authorized official

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1336975382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4420 IVY COMMONS",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22903",
            "telephone_number": "434-337-5934",
            "fax_number": "434-206-9595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4420 IVY COMMONS",
            "city": "CHARLOTTESVILLE",
            "state": "VA",
            "postal_code": "22903",
            "telephone_number": "434-337-5934",
            "fax_number": "434-206-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE RANGE DIRECT PRIMARY CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "FAMILY PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "434-337-5934",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Free Range Direct Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Evelyn Frazier, MD
• Heather K Frazier, MD
• Jacob Lee Frazier, BCBA, LBA
• Katheryn Ferris Frazier, MD
• Marian S Fredner, M.S.
• Danielle Petrosky Free, NP
• Cassandra G Freed-Pastor, ACNP-BC
• Matthew Tyler Freedman, MD
• William Bernis Freedman, M.D.
• Freeman Davis Behavior Services

• Primary Care Clinic/Center in Charlottesville, VA
• Providers in Charlottesville, VA by specialty
• Primary Care Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.