John Keith Frey, M.D.

Individual provider Active NPI Emergency Medicine Physician · Bremen, IN

NPI 1689680977 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1689680977
Entity type
Individual (NPI type 1)
Primary specialty
Emergency Medicine Physician 207P00000X
License
01030628A (IN)
Practice address
1020 High Road
Bremen, IN 46506-0008
Phone
(574) 546-2211
Fax
(574) 546-8070
NPI assigned
Jul 31, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01030628A IN Yes

Addresses

Primary practice location

1020 High Road
Bremen, IN 46506-0008

Mailing address

1020 High Road
Bremen, IN 46506-0008
Phone (574) 546-2211

Other providers in Bremen, IN

All providers in Bremen, IN · Emergency Medicine Physician in Indiana

Sources for this page

Verify at the official NPI Registry.