Jeffrey L Fraser, MD
Individual provider Active NPI Family Medicine Physician · Del Norte, CO
NPI 1790792380 · NPPES record last updated Sep 3, 2026
Key facts
- NPI
- 1790792380
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DR.0077960 (CO)
- Practice address
- 310C County Road 14
Del Norte, CO 81132-8719 - Phone
- (719) 657-2418
- Fax
- (719) 657-3317
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20201215000495 | NC | Practitioner - Family Practice | 6507864386 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2020-04208 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinaeast Physicians | Family Medicine | Current |
Accepting new patients |
Locations
4218 Arendell St
Morehead City, NC 28557
Phone (252) 247-3257
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DR.0077960 | CO | Yes |
| Family Medicine Physician | 207Q00000X | 19664 | NE | |
| Family Medicine Physician | 207Q00000X | 2020-04208 | NC |
Addresses
Primary practice location
310C County Road 14
Del Norte, CO 81132-8719
Mailing address
310 County Road 14
Del Norte, CO 81132-8719
Phone (719) 657-2510
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DR.0077960 | Other | CO | LICENSE |
| 9000262446 | Medicaid | CO |
Other providers in Del Norte, CO
- Nemonie Erin Donahue
- Rebecca Egdorf
- Enduring Wellness Health Clinic
- First Responsek-9 Security LLC
- Conrad W Fitz
- Jaden Frazier
- Karen Gasseling
- Eugenia Louise Givens
- Kira Gressman
- Guardian Flight LLC
All providers in Del Norte, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.