Individual provider Active NPI

Brandon Daniel Frye, D.O.

  • Orthopaedic Hand Surgery Physician
  • Melbourne, FL
National Provider Identifier
1669621785
Registry record updated Jun 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
OS13191 Issued in FL
Practice address
2010 W Eau Gallie Blvd
Unit 104
Melbourne, FL 32935-4033
Phone
(321) 500-4263
Fax
(888) 782-9622
NPI assigned
Sep 12, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OS13191 FL
Orthopaedic Hand Surgery Physician 207XS0106X OS13191 FL Primary

Addresses

Primary practice location

2010 W Eau Gallie Blvd
Unit 104
Melbourne, FL 32935-4033

Mailing address

2010 W Eau Gallie Blvd
Unit 104
Melbourne, FL 32935-4033
Phone (321) 500-4263

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200506002048 FL Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 1850608894 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
College of Physicians and Surgeons (Iowa), 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blackstone Hand Center, LLCGroup PAC ID 8820312176, 4 clinicians

Practice addresses (Care Compare)

2010 W Eau Gallie Blvd
Unit 104
Melbourne, FL 32935-4033
Phone (321) 500-4263

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS13191FLMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Blackstone Hand Center, LLC Hand Surgery CurrentSince Jun 1, 2020 Accepting new patients

Locations

2010 W Eau Gallie Blvd
Unit 104
Melbourne, FL 32935
Phone (305) 609-7688

2010 W Eau Gallie Blvd
Unit 104W
Melbourne, FL 32935

1310 W Eau Gallie Blvd
Ste E
Melbourne, FL 32935
Phone (321) 255-3338

Interoperability endpoints

  • Direct secure messaging: bfrye71778@epicdirect.hf.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591660800000",
    "number": "1669621785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 W EAU GALLIE BLVD",
            "address_2": "UNIT 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354033",
            "telephone_number": "321-500-4263",
            "fax_number": "888-782-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 W EAU GALLIE BLVD",
            "address_2": "UNIT 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329354033",
            "telephone_number": "321-500-4263",
            "fax_number": "888-782-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "BRANDON",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-12",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "OS13191",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "FL",
            "license": "OS13191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.