Individual provider Active NPI

Patrick James Fry, MD

  • Student in an Organized Health Care Education/Training Program
  • Foley, AL
National Provider Identifier
1639758956
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251126002638 TX Order and Referring Only - Family PracticePractitioner - 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

Sources for this page

Verify at the official NPI Registry.