Fred David Prentice, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

E4607 Issued in TX

Practice address

7 Venice CT
San Antonio, TX 78257-1310

Phone

(210) 698-9773

NPI assigned

Sep 6, 2017

Last updated

Jul 21, 2022By the provider in NPPES

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)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508384975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 VENICE CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571310",
            "telephone_number": "210-698-9773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 VENICE CT",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782571310",
            "telephone_number": "210-698-9773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENTICE",
        "first_name": "FRED",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-09-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "E4607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premise Health of Texas Medical PA (Live Well at Citi - San Antonio)
• Premise Health of Texas Medical PA (Capital One Be Well Health Center at Riverwoods)
• Premise Health of Texas Medical, P.a (TLS San Antonio Health Center)
• Zachary W Prenkert
• Emily Frances Prentice, LMSW
• John A Presas, EMT
• Prescott Limb & Braces Inc (Prescotts Orthotics and Prosthetics)
• Alana Rayann Prescott, BSN, RN
• Gary W Prescott, CO/LPO
• Susan Robin Prescott, FNP

• Emergency Medicine Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.