Individual provider Active NPI

Craig Alan Freyer, MD

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1720097801
Registry record updated Feb 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G5062 Issued in TX
Practice address
3629 Western Center Blvd
201
Fort Worth, TX 76137-1939
Phone
(817) 232-9870
Fax
(817) 847-7844
NPI assigned
Aug 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G5062 TX Primary

Addresses

Primary practice location

3629 Western Center Blvd
201
Fort Worth, TX 76137-1939

Mailing address

3629 Western Center Blvd
201
Fort Worth, TX 76137-1939
Phone (817) 232-9870

Other identifiers 1

IdentifierTypeStateIssuer
00QP93OtherTXBCBS

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

Practice roles

OrganizationSpecialtyStatusNew patients
Residential Visits Association Past Accepting new patients
R & R Networks Inc Past Accepting new patients
Craig Freyer, M.D. PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235088000000",
    "number": "1720097801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3629 WESTERN CENTER BLVD",
            "address_2": "201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371939",
            "telephone_number": "817-232-9870",
            "fax_number": "817-847-7844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3629 WESTERN CENTER BLVD",
            "address_2": "201",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371939",
            "telephone_number": "817-232-9870",
            "fax_number": "817-847-7844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREYER",
        "first_name": "CRAIG",
        "middle_name": "ALAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-06",
        "last_updated": "2009-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G5062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00QP93",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.