Active NPI
Bradley L Frost, MD
- Family Medicine Physician
- Dublin, GA
National Provider Identifier
1649258047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 052723
- Practice address
- 104 Fairview Park Dr
Dublin, GA 31021 - Phone
- (478) 272-1366
- Fax
- (478) 275-2322
- NPI assigned
- Jan 5, 2006
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 052723 | GA | Primary |
Addresses
Primary practice location
104 Fairview Park Dr
Dublin, GA 31021
Mailing address
PO Box 1528
Dublin, GA 31040-1528
Phone (478) 272-1366
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 278071734A | Medicaid | GA | |
| 2501178 | Other | GA | UNITED HEALTHCARE |
| 7938678 | Other | GA | AETNA |
| 5590639 | Other | GA | FIRST HEALTH |
| 52168676-001 | Other | GA | BCBS |
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)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260144000000",
"number": "1649258047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1528",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310401528",
"telephone_number": "478-272-1366",
"fax_number": "478-275-2322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 FAIRVIEW PARK DR",
"city": "DUBLIN",
"state": "GA",
"postal_code": "31021",
"telephone_number": "478-272-1366",
"fax_number": "478-275-2322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROST",
"first_name": "BRADLEY",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-05",
"last_updated": "2009-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "052723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "278071734A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2501178",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7938678",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "5590639",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52168676-001",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.