Active NPI
Richard McConnell Freeman, M.D.
- Pediatric Adolescent Medicine Physician
- Opelika, AL
National Provider Identifier
1821077413
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Adolescent Medicine Physician
- License
- 5738
- Practice address
- 2901 Corporate Park Dr
Opelika, AL 36801-7283 - Phone
- (334) 203-1766
- Fax
- (334) 203-1784
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Adolescent Medicine Physician | 2080A0000X | 5738 | AL | Primary |
Addresses
Primary practice location
2901 Corporate Park Dr
Opelika, AL 36801-7283
Mailing address
2901 Corporate Park Dr
Opelika, AL 36801-7283
Phone (334) 203-1766
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 528201420 | Medicaid | AL | |
| 000002165 | Medicaid | AL | |
| 51002165 | Other | AL | AL BCBS PROVIDER # |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508803200000",
"number": "1821077413",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2901 CORPORATE PARK DR",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368017283",
"telephone_number": "334-203-1766",
"fax_number": "334-203-1784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2901 CORPORATE PARK DR",
"city": "OPELIKA",
"state": "AL",
"postal_code": "368017283",
"telephone_number": "334-203-1766",
"fax_number": "334-203-1784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "RICHARD",
"middle_name": "MCCONNELL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2017-10-24",
"status": "A"
},
"taxonomies": [
{
"code": "2080A0000X",
"taxonomy_group": "",
"desc": "Pediatrics, Adolescent Medicine",
"state": "AL",
"license": "5738",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "528201420",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000002165",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AL BCBS PROVIDER #",
"identifier": "51002165",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Opelika, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.