Active NPI
Richard C. Fries, DO
- Forensic Pathology Physician
- Fort Worth, TX
National Provider Identifier
1356501092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Forensic Pathology Physician
- License
- P7914
- Practice address
- 200 Feliks Gwozdz PL
Fort Worth, TX 76104-4919 - Phone
- (817) 920-5700
- NPI assigned
- Jun 16, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Forensic Pathology Physician | 207ZF0201X | P7914 | TX | Primary |
Addresses
Primary practice location
200 Feliks Gwozdz PL
Fort Worth, TX 76104-4919
Mailing address
3248 W 7TH St
Apt 331
Fort Worth, TX 76107-2768
Phone (817) 353-9952
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P7914 | TX | MD | Forensic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nizam Peerwani Mdpa | Past | Accepting new patients |
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.
-
- Legal Medicine (M.D./D.O.) Physician
- Fort Worth, TX
- NPI 1316487838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213574400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380153600000",
"number": "1356501092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3248 W 7TH ST",
"address_2": "APT 331",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761072768",
"telephone_number": "817-353-9952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 FELIKS GWOZDZ PL",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761044919",
"telephone_number": "817-920-5700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIES",
"first_name": "RICHARD",
"middle_name": "C.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-16",
"last_updated": "2013-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "TX",
"license": "P7914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.