Frederick S Tan MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

K8511 Issued in TX

Legal business name

FREDERICK S TAN MD

Practice address

1705 E 29TH St
Bryan, TX 77802-1406

Phone

(979) 775-9483

Fax

(979) 775-9557

NPI assigned

Mar 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Frederick TanNPI 1689698615

Title

MD

Phone

(979) 775-9483

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Frederick S Tan, MD

  • Nephrology Physician
  • Bryan, TX
  • NPI 1689698615
  NPD (past) Authorized official
• Richard Greenlee Morgan, MD

  • Nephrology Physician
  • Bryan, TX
  • NPI 1265574545
  NPD (past)

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1700918224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021406",
            "telephone_number": "979-775-9483",
            "fax_number": "979-775-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 E 29TH ST",
            "city": "BRYAN",
            "state": "TX",
            "postal_code": "778021406",
            "telephone_number": "979-775-9483",
            "fax_number": "979-775-9557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREDERICK S TAN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAN",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "979-775-9483",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K8511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0017GC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Essie Foster
• Suzan K Foster, PT
• Emily Christine Fotheringham
• Mandi Jo Fox, PTA
• Fred E McGilberry & Assoc Inc
• Judy Lynette Freeman, M.S., CCC-SLP
• Stacey French, PHARMD
• Michael Kenneth Freund, PA-C
• Jennifer Diane Friedman, M.D.
• Jonathan Alexander Friedman, M.D.

• Nephrology Physician in Bryan, TX
• Providers in Bryan, TX by specialty
• Nephrology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.