Individual provider Active NPI

David J. Friedman, M.D.

  • Surgery Physician
  • Ahoskie, NC
National Provider Identifier
1427054683
Registry record updated Jan 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
8245 Issued in NM
Practice address
700 Academy St S
Ahoskie, NC 27910-3264
Phone
(252) 209-5404
Fax
(602) 200-5383
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 8245 NM Primary

Addresses

Primary practice location

700 Academy St S
Ahoskie, NC 27910-3264

Mailing address

PO Box 31001-0698
Pasadena, CA 91110-0698
Phone (602) 263-1200

Other identifiers 1

IdentifierTypeStateIssuer
62853210MedicaidNM

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dfriedman273565@direct.vidanthealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180402002037 NC Practitioner - General Surgery 6800795865 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2025-00179NCMDSurgery Physician
8245NMMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Jan 10, 2018 Accepting new patients
Alleghany County Memorial Hospital Inc CurrentSince Nov 15, 2022 Accepting new patients
DHP of North Carolina PC Surgery CurrentSince Feb 1, 2020 Accepting new patients
Gila Regional Medical Center Surgery Past Accepting new patients

Locations

700 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3614

203 Earnhart Dr
#B
Edenton, NC 27932
Phone (252) 482-5868

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

4810 S Croatan Hwy
Ste 250
Nags Head, NC 27959
Phone (252) 261-4885

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

2007 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-0361

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

233 Doctors St
Sparta, NC 28675
Phone (336) 372-3223

1403 S King St
Windsor, NC 27983
Phone (252) 794-6685

Interoperability endpoints

  • Direct secure messaging: dfriedman@hcs.gwaydirect.com
  • Direct secure messaging: dfriedman2792686@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: dfriedman273565@direct.vidanthealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642118400000",
    "number": "1427054683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31001-0698",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911100698",
            "telephone_number": "602-263-1200",
            "fax_number": "602-200-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 ACADEMY ST S",
            "city": "AHOSKIE",
            "state": "NC",
            "postal_code": "279103264",
            "telephone_number": "252-209-5404",
            "fax_number": "602-200-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "DAVID",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2022-01-14",
        "certification_date": "2022-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NM",
            "license": "8245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "62853210",
            "state": "NM"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfriedman273565@direct.vidanthealth.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "700 Academy St S",
            "city": "Ahoskie",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279103264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ahoskie, NC

Sources for this page

Verify at the official NPI Registry.