Individual provider Active NPI

Brian G Friedrich, DO

  • Internal Medicine Physician
  • Drexel Hill, PA
National Provider Identifier
1952455701
Registry record updated Mar 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS006599L Issued in PA
Practice address
5030 State Rd
Drexel Hill, PA 19026-4605
Phone
(610) 394-1350
Fax
(610) 394-1356
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS006599L PA Primary

Addresses

Primary practice location

5030 State Rd
Drexel Hill, PA 19026-4605

Mailing address

5030 State Rd
Suite 2-400
Drexel Hill, PA 19026-4605
Phone (610) 394-1350

Other identifiers 1

IdentifierTypeStateIssuer
001208130MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101018000296 PA Practitioner - Internal Medicine 3072706514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20 E Cleveland Ave
Norwood, PA 19074-1207
Phone (484) 472-5100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Communities Specialized Healthcare and Wellness PC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Health Access Network Internal Medicine Past Accepting new patients
Prospect Health Access Network, Inc. Past Accepting new patients

Locations

20 E Cleveland Ave
Norwood, PA 19074
Phone (484) 472-5100

Organizations & group practices 3

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

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1269561600000",
    "number": "1952455701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 STATE RD",
            "address_2": "SUITE 2-400",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264605",
            "telephone_number": "610-394-1350",
            "fax_number": "610-394-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 STATE RD",
            "city": "DREXEL HILL",
            "state": "PA",
            "postal_code": "190264605",
            "telephone_number": "610-394-1350",
            "fax_number": "610-394-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDRICH",
        "first_name": "BRIAN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2010-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS006599L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001208130",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Drexel Hill, PA

Sources for this page

Verify at the official NPI Registry.