Brian T Fretwell, PAC MPH

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1070 Issued in TN

Practice address

2121 N Ocoee St
Suite 101
Cleveland, TN 37311-3953

Phone

(423) 472-6548

Fax

(423) 472-8318

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: brian.fretwell@164749367312388.direct.elationemr.com

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.

• Physician Services of Cleveland, PC

  • Emergency Medicine Physician
  • Cleveland, TN
  • NPI 1457378341
  NPD (past)

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1508930843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 HUNTERS RUN TRL NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373126205",
            "telephone_number": "423-650-2987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 N OCOEE ST",
            "address_2": "SUITE 101",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113953",
            "telephone_number": "423-472-6548",
            "fax_number": "423-472-8318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRETWELL",
        "first_name": "BRIAN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "PAC MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "1070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN",
            "identifier": "2000307",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "TN0101",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "0140208",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3662424",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMP",
            "identifier": "FP62706",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Lee Franz, LCSW
• Hannah Joy Fraser, MFT-I
• Free Chiropractic Centre
• Corinne Freeman, LAPSW
• Fresenius Medical Care Chattanooga, LLC
• Lara M Fretwell, DMD
• Jasmine Irene Fromm, RDN
• Front Door Medicine PLLC
• Kellye Fryar, FNP
• Michael D Fryar, FNP

• Family Medicine Physician in Cleveland, TN
• Providers in Cleveland, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.