Active NPI
Fred M Fry, MD, Assoc.
- Urology Physician
- Victoria, TX
National Provider Identifier
1841494671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- D6266
- Legal business name
- FRED M FRY, MD, ASSOC.
- Practice address
- 2501 N Navarro St
Victoria, TX 77901-3912 - Phone
- (361) 573-6351
- Fax
- (361) 575-6455
- NPI assigned
- Jun 14, 2007
- Last updated
- Jun 20, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kathy G Hamilton
- Title
- Patient Accounts
- Phone
- (361) 573-6351
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | D6266 | TX | Primary |
Addresses
Primary practice location
2501 N Navarro St
Victoria, TX 77901-3912
Mailing address
2501 N Navarro St
Victoria, TX 77901-3912
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0072PZ | Other | TX | BLUE CROSS BLUE SHIELD |
| 342445479 | Other | TX | RAILROAD MEDICARE |
| 089913001 | Medicaid | TX | |
| 4378830 | Other | TX | AETNA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1841494671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 N NAVARRO ST",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779013912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 N NAVARRO ST",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779013912",
"telephone_number": "361-573-6351",
"fax_number": "361-575-6455"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRED M FRY, MD, ASSOC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-14",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "HAMILTON",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "PATIENT ACCOUNTS",
"authorized_official_telephone_number": "361-573-6351",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "D6266",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0072PZ",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "342445479",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "089913001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4378830",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.