Individual provider Active NPI

Brian Frol, MD

  • Family Medicine Physician
  • Dearborn Heights, MI
National Provider Identifier
1942209671
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
BF046396 Issued in MI
Practice address
8555 N Silvery LN
Suite C302
Dearborn Heights, MI 48127-1379
Phone
(313) 561-0550
Fax
(313) 561-3646
NPI assigned
Jul 15, 2005
Last updated
Oct 16, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X BF046396 MI Primary

Addresses

Primary practice location

8555 N Silvery LN
Suite C302
Dearborn Heights, MI 48127-1379

Mailing address

8555 N Silvery LN
Suite C302
Dearborn Heights, MI 48127-1379
Phone (313) 561-0550

Other identifiers 4

IdentifierTypeStateIssuer
134150OtherMICARE CHOICES
5802218OtherMIAETNA
4492601MedicaidMI
B47346OtherMIHAP

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

State licenses

LicenseStateTypeSpecialty
BF046396MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arbor Lane Family Physicians PLC Family Medicine PastSince Feb 11, 2003 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14403/brand/1/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192492800000",
    "number": "1942209671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8555 N SILVERY LN",
            "address_2": "SUITE C302",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271379",
            "telephone_number": "313-561-0550",
            "fax_number": "313-561-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8555 N SILVERY LN",
            "address_2": "SUITE C302",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481271379",
            "telephone_number": "313-561-0550",
            "fax_number": "313-561-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FROL",
        "first_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-15",
        "last_updated": "2007-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "BF046396",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE CHOICES",
            "identifier": "134150",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5802218",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4492601",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "B47346",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dearborn Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.