Individual provider Active NPI

Edgar Sheilds Frey, MD

  • Surgery Physician
  • Birmingham, AL
National Provider Identifier
1821100413
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
11671 Issued in AL
Practice address
860 Montclair Rd Ste 754
Birmingham, AL 35213-1950
Phone
(205) 591-2565
Fax
(205) 986-0081
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 11671 AL Primary

Addresses

Primary practice location

860 Montclair Rd Ste 754
Birmingham, AL 35213-1950

Mailing address

860 Montclair Rd Ste 754
Birmingham, AL 35213-1950
Phone (205) 591-2565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20050728001278 AL Practitioner - General Surgery 3072541259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Alabama School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Centers LLCGroup PAC ID 3476457011, 184 clinicians

Practice addresses (Care Compare)

3686 Grandview Pkwy
Suite 810
Birmingham, AL 35243-3408
Phone (205) 971-5135

Hospital & facility affiliations

  • Grandview Medical Center Hospital, Birmingham, AL, CCN 010104

Merit-based Incentive Payment System (MIPS)

Final score
85.07 of 100Reported as group
Quality
80.62
Promoting interoperability
100
Improvement activities
40
Cost
69.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11671ALMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Centers LLC CurrentSince Nov 13, 2018 Accepting new patients
Baptist Health Centers, LLC CurrentSince Nov 13, 2018 Accepting new patients
Derek E Robinson MD PC Surgery Past Accepting new patients

Locations

1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849

3686 Grandview Pkwy
Ste 810
Birmingham, AL 35243
Phone (205) 971-2565

817 Princeton Ave SW
Ste 106
Birmingham, AL 35211
Phone (205) 783-3191

3690 Grandview Pkwy
Vestavia, AL 35243
Phone (205) 592-1000

Organizations & group practices 5

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821100413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "860 MONTCLAIR RD STE 754",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131950",
            "telephone_number": "205-591-2565",
            "fax_number": "205-986-0081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "860 MONTCLAIR RD STE 754",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352131950",
            "telephone_number": "205-591-2565",
            "fax_number": "205-986-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREY",
        "first_name": "EDGAR",
        "middle_name": "SHEILDS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "11671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.