Individual provider Active NPI

Neil Allen Friedman, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Flint, MI
National Provider Identifier
1962495911
Registry record updated Mar 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301049800 Issued in MI
Practice address
5039 Villa Linde Pkwy
Suite 22
Flint, MI 48532-3450
Phone
(810) 733-0520
Fax
(810) 733-7443
NPI assigned
Aug 24, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4301049800 MI Primary

Addresses

Primary practice location

5039 Villa Linde Pkwy
Suite 22
Flint, MI 48532-3450

Mailing address

5039 Villa Linde Pkwy
Suite 22
Flint, MI 48532-3450
Phone (810) 733-0520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20111219000145 MI Practitioner - Physical Medicine and Rehabilitation 6901071018 Practice locations: Flint, MI

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Wayne State University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5039 Villa Linde Pkwy
Suite 22
Flint, MI 48532-3450
Phone (810) 733-0520

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301049800MIMDPhysical Medicine & Rehabilitation Physician

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267660800000",
    "number": "1962495911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5039 VILLA LINDE PKWY",
            "address_2": "SUITE 22",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323450",
            "telephone_number": "810-733-0520",
            "fax_number": "810-733-7443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5039 VILLA LINDE PKWY",
            "address_2": "SUITE 22",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485323450",
            "telephone_number": "810-733-0520",
            "fax_number": "810-733-7443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "NEIL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-24",
        "last_updated": "2010-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301049800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.