Active NPI
Robert Lee Frazier III
- Durable Medical Equipment & Medical Supplies
- Gainesville, FL
National Provider Identifier
1871976829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Practice address
- 1309 NE 28TH Ave
Gainesville, FL 32609-3160 - Phone
- (352) 538-7214
- Fax
- (877) 322-1872
- NPI assigned
- Jul 8, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
1309 NE 28TH Ave
Gainesville, FL 32609-3160
Mailing address
PO Box 5701
Gainesville, FL 32627-5701
Phone (866) 616-7842
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436313600000",
"number": "1871976829",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5701",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326275701",
"telephone_number": "866-616-7842",
"fax_number": "877-322-1872"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1309 NE 28TH AVE",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326093160",
"telephone_number": "352-538-7214",
"fax_number": "877-322-1872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAZIER",
"first_name": "ROBERT",
"middle_name": "LEE",
"name_prefix": "Mr.",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-08",
"last_updated": "2015-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.