Individual provider Active NPI

Paul A. Friedman, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Robinson, TX
National Provider Identifier
1790745479
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
J5324 Issued in TX
Practice address
3600 S Loop 340
Robinson, TX 76706-4828
Phone
(254) 523-2222
NPI assigned
Mar 25, 2006
Last updated
Dec 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X J5324 TX Primary

Addresses

Primary practice location

3600 S Loop 340
Robinson, TX 76706-4828

Mailing address

2902 Slough Dr
Temple, TX 76502-3974
Phone (254) 931-6201

Other identifiers 5

IdentifierTypeStateIssuer
1051948-02MedicaidTX
1051948-01OtherTXCSHCN
250011873OtherTXRR/MEDICARE
86J280OtherTXBLUE SHIELD
86J280OtherTXMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100210000628 TX Practitioner - Physical Medicine and Rehabilitation 0042353237 Practice locations: Robinson, TX; Temple, TX

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Texas Medical School at San Antonio, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23621 SE H K Dodgen Loop
Temple, TX 76504-8664
Phone (254) 410-0555

3600 S Loop
Suite 340
Robinson, TX 76706-4828
Phone (254) 523-2222

Everest Rehabilitation Hospital
23621 SE H.K. Dodgen Loop
Temple, TX 76504-8664

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J5324TXMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Everest Rehabilitation Hospital Temple, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1143244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1790745479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 SLOUGH DR",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765023974",
            "telephone_number": "254-931-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 S LOOP 340",
            "city": "ROBINSON",
            "state": "TX",
            "postal_code": "767064828",
            "telephone_number": "254-523-2222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "PAUL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-25",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "J5324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1051948-02",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "1051948-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR/MEDICARE",
            "identifier": "250011873",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "86J280",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "86J280",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Robinson, TX

Sources for this page

Verify at the official NPI Registry.