Individual provider Active NPI

David Clark Fredenburg, MD

  • Pediatrics Physician
  • Hudson, NH
National Provider Identifier
1396717658
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
8751 Issued in NH
Practice address
49 Derry Rd
Hudson, NH 03051-4027
Phone
(603) 889-4422
Fax
(603) 889-5544
NPI assigned
Feb 2, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 8751 NH Primary

Addresses

Primary practice location

49 Derry Rd
Hudson, NH 03051-4027

Mailing address

49 Derry Rd
Hudson, NH 03051-4027
Phone (603) 889-4422

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161017000821 MA Practitioner - HospitalistPractitioner - Pediatric Medicine 4284922758 Reassigns benefits to 1 organization
I20240430000121 VA Practitioner - Pediatric Medicine 4284922758 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8751NHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baby Doc Inc CurrentSince Apr 26, 2024 Accepting new patients
Community Health Connections, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Community Health Connections, Inc. Current Accepting new patients
Community Health Connections, Inc. CurrentSince Aug 1, 2024 Accepting new patients

Locations

326 Nichols Rd
Fitchburg, MA 01420
Phone (978) 343-5270

175 Connors St
Gardner, MA 01440
Phone (978) 410-6100

11700 Sudley Manor Dr
Manassas, VA 20109
Phone (703) 589-9695

42010 Village Center Plz
Ste 100
Stone Ridge, VA 20105
Phone (703) 542-7921

Organizations & group practices 4

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1396717658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 DERRY RD",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030514027",
            "telephone_number": "603-889-4422",
            "fax_number": "603-889-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 DERRY RD",
            "city": "HUDSON",
            "state": "NH",
            "postal_code": "030514027",
            "telephone_number": "603-889-4422",
            "fax_number": "603-889-5544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDENBURG",
        "first_name": "DAVID",
        "middle_name": "CLARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NH",
            "license": "8751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hudson, NH

Sources for this page

Verify at the official NPI Registry.