Brandon Fry, ATP

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

ATP62519 Issued in TX

Practice address

900 Blue Ridge Dr
Prosper, TX 75078-8696

Phone

(209) 304-6058

NPI assigned

May 20, 2013

Last updated

Jun 10, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Healthline Medical Equipment LLC

  dba Healthline

  • Durable Medical Equipment & Medical Supplies
  • Richardson, TX
  • NPI 1609190909
  NPD (past)
• Healthline Medical Equipment LLC

  • Durable Medical Equipment & Medical Supplies
  • Waco, TX
  • NPI 1972107274
  NPD (past)

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1538505482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BLUE RIDGE DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788696",
            "telephone_number": "209-304-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BLUE RIDGE DR",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788696",
            "telephone_number": "209-304-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRY",
        "first_name": "BRANDON",
        "credential": "ATP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-20",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "TX",
            "license": "ATP62519",
            "primary": true
        },
        {
            "code": "225CA2400X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Counselor, Assistive Technology Practitioner",
            "state": "TX",
            "license": "ATP62519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Freeformprosper PLLC (Freeform Chiropractic Prosper)
• Eric Ryan Friedrich, D.O.
• Friends Medical Equipment & Supplies LLC
• Frisco Brain Training, LLC (LearningRx Frisco)
• Rachel Elizabeth Fritz, OTD, OTR/L
• Full Smile Dental Prosper Trail Orthodontics, PLLC (Prosper Trail Orthodontics)
• Ally Renee Funkhouser Dye, CPNP
• Allison Gage
• Bianca Michele Galante, LCSW
• Samantha Eileen Galui

• Other Technician in Prosper, TX
• Providers in Prosper, TX by specialty
• Other Technician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.