Brian Douglas Frye, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AL0001135 Issued in FL

Practice address

2800 University Blvd N
Jacksonville, FL 32211-3321

Phone

(904) 256-7714

Fax

(904) 256-7424

NPI assigned

Mar 26, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689792236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7920 MERRILL RD",
            "address_2": "UNIT 1212",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322776549",
            "telephone_number": "904-762-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 UNIVERSITY BLVD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322113321",
            "telephone_number": "904-256-7714",
            "fax_number": "904-256-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRYE",
        "first_name": "BRIAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL0001135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan P Frost, MD
• Justin Frost, CRNA
• Fruit Cove Family Medicine P a
• Fruitful Vine Midwifery Service, Inc.
• Kathleen Fry, ARNP
• Journea Frye
• Madalyn Elizabeth Frye
• Sandra Nicole Frye, LMT
• Brett P Frykberg, M.D.
• FSCZ LLC

• Athletic Trainer in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.