Individual provider Active NPI

Stephen Fuller Fryer, D.O.

  • Family Medicine Physician
  • Bridgeport, WV
National Provider Identifier
1598822207
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
WV2006 Issued in WV
Practice address
120 Medical Park Dr
Suite 300
Bridgeport, WV 26330-9012
Phone
(304) 624-7200
Fax
(304) 423-5302
NPI assigned
Jan 2, 2007
Last updated
Apr 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X WV2006 WV Primary

Addresses

Primary practice location

120 Medical Park Dr
Suite 300
Bridgeport, WV 26330-9012

Mailing address

PO Box 763
Morgantown, WV 26507-0763
Phone (800) 541-4009

Other identifiers 2

IdentifierTypeStateIssuer
2652133MedicaidOH
3810002530MedicaidWV

Other names 1

  • S. Casey Fryer Other name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sfryer43529@direct.wvuhsdirect.com Health Information Exchange (HIE)
Direct Messaging Address sfryer43529@direct.wvuhsdirect.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041101000494 WV Practitioner - Family Practice 7911969084 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Physicians Care IncGroup PAC ID 6103814017, 119 clinicians

Practice addresses (Care Compare)

120 Medical Park Dr
Suite 300
Bridgeport, WV 26330-9013
Phone (681) 342-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
WV2006WVMDFamily Medicine Physician
2006WVMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
United Physicians Care Inc Family Medicine CurrentSince Nov 14, 2016 Accepting new patients
United Physicians Care Inc Family Medicine CurrentSince Nov 14, 2016 Accepting new patients
S. Casey Fryer DO, PLLC Family Medicine PastSince Jul 1, 2005 Accepting new patients

Locations

120 Medical Park Dr
Ste 300
Bridgeport, WV 26330
Phone (304) 624-7200

1370 Johnson Ave
Ste 102
Bridgeport, WV 26330
Phone (681) 342-3452

327 Medical Park Dr
Bridgeport, WV 26330
Phone (681) 342-1000

1664 E Pike St
Clarksburg, WV 26301
Phone (304) 709-7000

626 Elk St
Gassaway, WV 26624
Phone (304) 364-2401

401 N Pike St
Grafton, WV 26354
Phone (304) 265-1350

2373 W Main St
Ste 102
Salem, WV 26426
Phone (304) 782-2000

Interoperability endpoints

  • Direct secure messaging: sfryer43529@direct.wvuhsdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1598822207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 763",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265070763",
            "telephone_number": "800-541-4009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MEDICAL PARK DR",
            "address_2": "SUITE 300",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309012",
            "telephone_number": "304-624-7200",
            "fax_number": "304-423-5302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYER",
        "first_name": "STEPHEN",
        "middle_name": "FULLER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-02",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "WV2006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2652133",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810002530",
            "state": "WV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfryer43529@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "120 Medical Park Dr Ste 300",
            "city": "Bridgeport",
            "state": "WV",
            "country_code": "US",
            "postal_code": "263309013",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfryer43529@direct.wvuhsdirect.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "120 Medical Park Dr",
            "city": "Bridgeport",
            "state": "WV",
            "country_code": "US",
            "postal_code": "263309012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "S.",
            "last_name": "FRYER",
            "middle_name": "CASEY",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bridgeport, WV

Sources for this page

Verify at the official NPI Registry.