Fred Baurer, M.D.

Primary specialty

Addiction Psychiatry PhysicianTaxonomy code 2084P0802X

License

MD-033765-E Issued in PA

Practice address

111 N 49TH St
Philadelphia, PA 19139-2718

Phone

(215) 471-2807

Fax

(215) 471-2897

NPI assigned

Apr 7, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

• Corecare Behavioral Health Management, Inc.

  • Substance Abuse Rehabilitation Facility
  • Philadelphia, PA
  • NPI 1558520841
  NPD (past)

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

{
    "created_epoch": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477676328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 ANTON RD",
            "city": "WYNNEWOOD",
            "state": "PA",
            "postal_code": "190961226",
            "fax_number": "610-649-3762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N 49TH ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191392718",
            "telephone_number": "215-471-2807",
            "fax_number": "215-471-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAURER",
        "first_name": "FRED",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "PA",
            "license": "MD-033765-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Cara Bauml, M.D.
• Joshua Michael Bauml, MD
• Kevin Michael Baumlin, MD
• Emily Baumrin, M.D.
• Michelle Florence Baun, OT
• Mark E Baus, CRNP
• Danielle Nicole Bausher, LCSW
• John M Bauso, PT
• Jose Bautista, MA
• Marta Bavrovska

• Addiction Psychiatry Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Addiction Psychiatry Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.