Active NPI
Fredrick Curtis Leak
- Prosthetics Case Management
- Fayetteville, NC
National Provider Identifier
1588226849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- 26755
- Practice address
- 500 N McPherson Church Rd
Fayetteville, NC 28303-0278 - Phone
- (910) 867-5141
- NPI assigned
- Jul 7, 2019
- Last updated
- Jul 7, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | 26755 | NC | Primary |
Addresses
Primary practice location
500 N McPherson Church Rd
Fayetteville, NC 28303-0278
Mailing address
500 N McPherson Church Rd
Fayetteville, NC 28303-0278
Phone (910) 867-5141
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26755 | NC | MD | Reproductive Endocrinology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562457600000",
"number": "1588226849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N MCPHERSON CHURCH RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283030278",
"telephone_number": "910-867-5141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N MCPHERSON CHURCH RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283030278",
"telephone_number": "910-867-5141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEAK",
"first_name": "FREDRICK",
"middle_name": "CURTIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-07",
"last_updated": "2019-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "NC",
"license": "26755",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.