Active NPI
Clifford Jack Fraim, M.D.
- Neurology Physician
- Austin, TX
National Provider Identifier
1942314406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- E4337
- Practice address
- 1600 W 38TH St Ste 308
Austin, TX 78731-6406 - Phone
- (512) 324-3580
- Fax
- (512) 324-3581
- NPI assigned
- Aug 19, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | E4337 | TX | Primary |
Addresses
Primary practice location
1600 W 38TH St Ste 308
Austin, TX 78731-6406
Mailing address
1400 N Ih 35 Ste 300
Austin, TX 78701-1926
Phone (512) 324-8300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 131702609 | Medicaid | TX | |
| 8CX265 | Other | TX | BCBS |
| 131702610 | Medicaid | TX | |
| 1317026-08 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| E4337 | TX | MD | Neurology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355443200000",
"number": "1942314406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 N IH 35 STE 300",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787011926",
"telephone_number": "512-324-8300",
"fax_number": "512-324-8301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W 38TH ST STE 308",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787316406",
"telephone_number": "512-324-3580",
"fax_number": "512-324-3581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRAIM",
"first_name": "CLIFFORD",
"middle_name": "JACK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-19",
"last_updated": "2012-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "E4337",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131702609",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8CX265",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "131702610",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1317026-08",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.