Individual provider Active NPI

David Lawrence Fryman, M.D.

  • Family Medicine Physician
  • Avon, IN
National Provider Identifier
1750347993
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01039563A Issued in IN
Practice address
1115 Ronald Reagan Pkwy
Suite 141
Avon, IN 46123-6910
Phone
(317) 278-3200
Fax
(317) 278-3333
NPI assigned
Apr 25, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 9

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.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent Medical Group Inc 728 clinicians

Practice addresses (Care Compare)

1206 E National Ave
Brazil, IN 47834-2718
Phone (812) 442-2480

Hospital & facility affiliations

  • Ascension St Vincent Clay Hospital, Brazil, IN, CCN 151309
  • Ascension St Vincent Clay Nursing home, CCN 15Z309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20090710000481 IN Practitioner - Family Practice 6709884869 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01039563AINMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Medical Group, Inc. Family Medicine CurrentSince Aug 1, 2024 Accepting new patients
St. Vincent Medical Group, Inc. CurrentSince Aug 1, 2024 Accepting new patients
University Family Physicians, Inc. CurrentSince Feb 8, 2017 Accepting new patients
University Family Physicians, Inc. Family Medicine CurrentSince Feb 8, 2017 Accepting new patients
Major Hospital Past Accepting new patients

Locations

7216 Solutions Ctr
Chicago, IL 60677

1115 Ronald Reagan Pkwy
Ste 141
Avon, IN 46123
Phone (317) 217-2700

1206 E National Ave
Brazil, IN 47834
Phone (812) 442-2480

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

720 Eskenazi Ave
Fl 5
Indianapolis, IN 46202
Phone (317) 880-6000

5515 W 38th St
Indianapolis, IN 46254
Phone (317) 880-3838

8433 Harcourt Rd
Ste 100
Indianapolis, IN 46260
Phone (317) 583-7702

1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

Interoperability endpoints

  • Direct secure messaging: dfryman@direct.iuhealth.org

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01039563A IN Primary

Addresses

NPPES NPI Registry

Primary practice location

1115 Ronald Reagan Pkwy
Suite 141
Avon, IN 46123-6910

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1206 E National Ave
Brazil, IN 47834-2718
Phone (812) 442-2480

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
100357510MedicaidIN

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address dfryman@direct.iuhealth.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2024.

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1750347993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1115 RONALD REAGAN PKWY",
            "address_2": "SUITE 141",
            "city": "AVON",
            "state": "IN",
            "postal_code": "461236910",
            "telephone_number": "317-278-3200",
            "fax_number": "317-278-3333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1206 E National Ave",
            "address_purpose": "LOCATION",
            "city": "Brazil",
            "state": "IN",
            "postal_code": "478342718",
            "country_code": "US",
            "telephone_number": "812-442-2480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRYMAN",
        "first_name": "DAVID",
        "middle_name": "LAWRENCE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01039563A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100357510",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfryman@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "1115 Ronald Reagan Pkwy",
            "address_2": "Suite 141",
            "city": "Avon",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461236910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Avon, IN

Sources for this page

Verify at the official NPI Registry.