Individual provider Active NPI

Franklyn Fitzgerald Farrell, MD MPH

  • Occupational Medicine Physician
  • Austin, TX
National Provider Identifier
1659311744
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
M4775 Issued in TX
Practice address
1701 Directors Blvd Ste 300
Austin, TX 78744-1044
Phone
(210) 612-8680
NPI assigned
Jun 7, 2006
Reactivated
Dec 8, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X M4775 TX Primary

Addresses

Primary practice location

1701 Directors Blvd Ste 300
Austin, TX 78744-1044

Mailing address

1701 Directors Blvd Ste 300
Austin, TX 78744-1044
Phone (210) 612-8680

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1659311744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 DIRECTORS BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787441044",
            "telephone_number": "210-612-8680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 DIRECTORS BLVD STE 300",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787441044",
            "telephone_number": "210-612-8680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARRELL",
        "first_name": "FRANKLYN",
        "middle_name": "FITZGERALD",
        "name_prefix": "Dr.",
        "credential": "MD MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2019-09-05",
        "deactivation_date": "2015-07-24",
        "reactivation_date": "2017-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "M4775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.