Active NPI
David G Freas, MD
- Family Medicine Physician
- Gambrills, MD
National Provider Identifier
1497748800
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- D35601
- Practice address
- 2401 Brandermill Blvd
Suite 250
Gambrills, MD 21054-1690 - Phone
- (410) 721-1507
- Fax
- (410) 721-1510
- NPI assigned
- Aug 31, 2005
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | D35601 | MD | Primary |
Addresses
Primary practice location
2401 Brandermill Blvd
Suite 250
Gambrills, MD 21054-1690
Mailing address
PO Box 64618
Baltimore, MD 21264-4618
Phone (443) 481-6577
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001 | Other | BCBS | |
| 42441609 | Other | BCBS | |
| 279481100 | Other | AMERIGROUP | |
| 5802069 | Other | AETNA PPO | |
| 2133457 | Other | MAMSI | |
| 279481100 | Medicaid | MD | |
| 609636400 | Other | FEDERAL WORKMANS COMP | |
| 3669179 | Other | AETNA HMO |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D35601 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Frederick Health Hospital Inc | 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.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1296604800000",
"number": "1497748800",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64618",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644618",
"telephone_number": "443-481-6577",
"fax_number": "443-481-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 BRANDERMILL BLVD",
"address_2": "SUITE 250",
"city": "GAMBRILLS",
"state": "MD",
"postal_code": "210541690",
"telephone_number": "410-721-1507",
"fax_number": "410-721-1510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREAS",
"first_name": "DAVID",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-31",
"last_updated": "2011-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MD",
"license": "D35601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "0001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "42441609",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "279481100",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "5802069",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAMSI",
"identifier": "2133457",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "279481100",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FEDERAL WORKMANS COMP",
"identifier": "609636400",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3669179",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gambrills, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.