Organization Active NPI

Bradley Friedman M.D. P.a.

  • Primary Care Clinic/Center
  • Frisco, TX
National Provider Identifier
1487861589
Registry record updated Jan 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
M5168 Issued in TX
Legal business name
BRADLEY FRIEDMAN M.D. P.A.
Practice address
11560 Teel Pkwy
Suite #100
Frisco, TX 75034-4430
Phone
(972) 668-0821
NPI assigned
May 17, 2007
Last updated
Jan 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2008

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

Authorized official

Name
Bradley Ryan Friedman, M.D.NPI 1033135066
Title
Owner
Phone
(972) 668-0821

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X M5168 TX Primary

Addresses

Primary practice location

11560 Teel Pkwy
Suite #100
Frisco, TX 75034-4430

Mailing address

11560 Teel Pkwy
Suite #100
Frisco, TX 75034-4430
Phone (972) 668-0821

National Provider Directory

National Provider Directory

Locations

11560 Teel Pkwy
#100
Frisco, TX 75033
Phone (972) 668-0821

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201564800000",
    "number": "1487861589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11560 TEEL PKWY",
            "address_2": "SUITE #100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344430",
            "telephone_number": "972-668-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11560 TEEL PKWY",
            "address_2": "SUITE #100",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750344430",
            "telephone_number": "972-668-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY FRIEDMAN M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2008-01-29",
        "status": "A",
        "authorized_official_last_name": "FRIEDMAN",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "972-668-0821",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "M5168",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frisco, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2008; 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.