Fred Louis Speck Jr., M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

E8928 Issued in TX

Practice address

401 Junction Hwy
Kerrville, TX 78028-4202

Phone

(830) 896-2810

Fax

(830) 896-2824

NPI assigned

Jul 11, 2006

Last updated

Jul 8, 2007By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Dermatology

Education

University of Texas Medical Branch at Galveston, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

96.56 of 100Reported as individual

Quality

93.74

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Sumrall Chiropractic Inc

  • Chiropractor
  • Kerrville, TX
  • NPI 1265690648
  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639104466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 JUNCTION HWY",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284202",
            "telephone_number": "830-896-2810",
            "fax_number": "830-896-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 JUNCTION HWY",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780284202",
            "telephone_number": "830-896-2810",
            "fax_number": "830-896-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECK",
        "first_name": "FRED",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "E8928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "035352601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa L Solder, CRNA
• Dena Regina Soth, NP-C
• Soulwork Psychiatry PLLC
• Southwest LTC Kerrville LTD. (River Hills Health & Rehabilitation Center)
• Annalisa Spangler, RN
• Olga Patricia Springer, LPC-S
• David Robert Sprouse, M.D.
• Amy Rene' Sralla, A.T.C, L.A.T
• Standard Transport
• Star Smiles-Kerville PLLC

• Dermatology Physician in Kerrville, TX
• Providers in Kerrville, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.