Active NPI
David H Fridie II, DPM
- Podiatrist
- Edinburg, TX
National Provider Identifier
1962571067
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1177
- Practice address
- 2808 Fountain Plaza Blvd
Edinburg, TX 78539 - Phone
- (956) 318-1010
- Fax
- (956) 381-5857
- NPI assigned
- Nov 6, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1177 | TX | |
| Surgery Physician | 208600000X | 1177 | TX | |
| Podiatrist | 213E00000X | 1177 | TX | Primary |
Addresses
Primary practice location
2808 Fountain Plaza Blvd
Edinburg, TX 78539
Mailing address
PO Box 3820
Edinburg, TX 78540
Phone (956) 318-1010
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110401003 | 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1177 | TX | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258588800000",
"number": "1962571067",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3820",
"city": "EDINBURG",
"state": "TX",
"postal_code": "78540",
"telephone_number": "956-318-1010",
"fax_number": "956-381-5857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2808 FOUNTAIN PLAZA BLVD",
"city": "EDINBURG",
"state": "TX",
"postal_code": "78539",
"telephone_number": "956-318-1010",
"fax_number": "956-381-5857"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIDIE",
"first_name": "DAVID",
"middle_name": "H",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2009-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "1177",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "1177",
"primary": false
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "TX",
"license": "1177",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110401003",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Edinburg, TX
- Robert B. Fraser, DC
- Freedom Elite Home Health Inc
- Fresenius Medical Care McAllen Home, LLC (Fresenius Kidney Care McAllen Home)
- Fridie and Associates, Inc
- Fridie and Associates, Inc.
- Frontier Direct Care
- Frontline Health Services, Inc. (First Choice Healthcare)
- Frontline Health Services, Inc. (First Choice Healthcare)
- Sarah Fryer
- Ft Therapy LLC (Vip Therapy Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.