Bryan D Fredrick MD LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME31083 Issued in FL

Legal business name

BRYAN D FREDRICK MD LLC

Practice address

1409 S Waterview Dr
Inverness, FL 34450-3585

Phone

(352) 726-9457

NPI assigned

Oct 19, 2010

Organization subpart

No

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

Authorized official

Name

Bryan D Fredrick, MD

Title

Owner

Phone

(352) 726-9457

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1801106257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 609",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344510609",
            "telephone_number": "352-725-6945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 S WATERVIEW DR",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344503585",
            "telephone_number": "352-726-9457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN D FREDRICK MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-19",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "FREDRICK",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-726-9457",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME31083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Marie Briscoe, RD, LD/N
• Bruce Lloyd Browman, P.T.
• Kellie Brown, LMHC
• Maria Rosa Brown, A.R.N.P
• Annamarie Bruno, LMT, BCTMB
• Darcy Marie Bryant, PHARMD
• Ashok G Buddhadev, M.D.
• Christina Burdick, RBT
• Alejandra Burdiles, CDM
• William Busse, MD

• Emergency Medicine Physician in Inverness, FL
• Providers in Inverness, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.