Organization Active NPI

Fred M Fry, MD, Assoc.

  • Urology Physician
  • Victoria, TX
National Provider Identifier
1841494671
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
D6266 Issued in TX
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, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0072PZOtherTXBLUE CROSS BLUE SHIELD
342445479OtherTXRAILROAD MEDICARE
089913001MedicaidTX
4378830OtherTXAETNA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.