Active NPI
William Bernis Freedman, M.D.
- Cardiovascular Disease Physician
- Charlottesville, VA
National Provider Identifier
1649274036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 0101023877
- Practice address
- 3225 Rye Hollow Lane
Charlottesville, VA 22903 - Phone
- (434) 960-5288
- Fax
- (434) 293-4265
- NPI assigned
- Jun 13, 2005
- Reactivated
- Mar 31, 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 0101023877 | VA | Primary |
Addresses
Primary practice location
3225 Rye Hollow Lane
Charlottesville, VA 22903
Mailing address
3225 Rye Hollow Lane
Charlottesville, VA 22903
Phone (434) 960-5288
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 247323 | Other | VA | ANTHEM |
| C10061 | Other | VA | MEDICARE GROUP PIN |
| 456180 | Other | VA | SOUTHERN HEALTH |
| 1649274036 | Medicaid | VA | |
| P00384294 | Other | VA | RAILROAD MEDICARE |
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": "1118620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1649274036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3225 RYE HOLLOW LANE",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "22903",
"telephone_number": "434-960-5288",
"fax_number": "434-293-4265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3225 RYE HOLLOW LANE",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "22903",
"telephone_number": "434-960-5288",
"fax_number": "434-293-4265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEDMAN",
"first_name": "WILLIAM",
"middle_name": "BERNIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-13",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "VA",
"license": "0101023877",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "247323",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "C10061",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTHERN HEALTH",
"identifier": "456180",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1649274036",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00384294",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.