Bryan D Fredrick, M.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME0031083 Issued in FL

Practice address

121 S Citrus Ave
Inverness, FL 34452

Phone

(352) 341-6000

NPI assigned

Dec 29, 2006

Last updated

Feb 1, 2012By the provider in NPPES

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 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Citrus Emergency Services, PA

  • Emergency Medicine Physician
  • Inverness, FL
  • NPI 1275671950
  NPD (past)
• Phoenix Emergency Services of Inverness LLC

  • Emergency Medicine Physician
  • Inverness, FL
  • NPI 1538316591
  NPD (past)

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328054400000",
    "number": "1528124088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344510609",
            "telephone_number": "352-341-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S CITRUS AVE",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "34452",
            "telephone_number": "352-341-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDRICK",
        "first_name": "BRYAN",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2012-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME0031083",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "067905499",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis Fox, M.D.
• Jennifer Melissa Lee Fox, DPM
• Davoni Francis, ARNP
• Frankie Meyers, LCSW, Inc.
• McKinley Clarence Franklin Sr.
• Brittany Fuller, PTA
• G&D Spinka, Inc (Comfort Keepers)
• Victor Omar Garbalosa, D.P.T.
• Yaliana Paola Garcia Aviles, MD
• Erik Garcia-Aranguren, D.D.S

• Emergency Medicine Physician in Inverness, FL
• Providers in Inverness, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2012; 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.