Active NPI
Patrick James Fry, MD
- Student in an Organized Health Care Education/Training Program
- Foley, AL
National Provider Identifier
1639758956
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1851 N McKenzie St Ste 200
Foley, AL 36535-4700 - Phone
- (251) 424-1488
- NPI assigned
- Apr 5, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1851 N McKenzie St Ste 200
Foley, AL 36535-4700
Mailing address
1851 N McKenzie St Ste 200
Foley, AL 36535-4700
Phone (251) 424-1488
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Athena | FOLEY CLINIC CORP |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251126002638 | TX | Order and Referring Only - Family Practice | 6608368535 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617580800000",
"number": "1639758956",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1851 N MCKENZIE ST STE 200",
"city": "FOLEY",
"state": "AL",
"postal_code": "365354700",
"telephone_number": "251-424-1488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1851 N MCKENZIE ST STE 200",
"city": "FOLEY",
"state": "AL",
"postal_code": "365354700",
"telephone_number": "251-424-1488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRY",
"first_name": "PATRICK",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-05",
"last_updated": "2021-04-05",
"certification_date": "2021-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Athena",
"affiliation": "Y",
"affiliationName": "FOLEY CLINIC CORP",
"address_1": "1851 N McKenzie St Ste 200",
"city": "Foley",
"state": "AL",
"country_code": "US",
"postal_code": "365354700",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Foley, AL
- Franklin Primary Health Center Inc (Baldwin Family Health Center)
- Franklin Primary Health Center, Inc (Foley School Based Health Center)
- Timothy Lee Frerichs, MD
- Fresenius Medical Care Foley, LLC (Fresenius Kidney Care Foley)
- Sharon Ann Friday, PHD.
- Sophia A. Fuller, PT, DPT, CMTPT, CCRP
- Future Physical Therapy, LLC
- G.O.a.L.S. Therapeutic Daycare L.L.C.
- Matthew T Gaines, MD
- Beate C. Gant, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.