BRENT FREDERICK


Address: Medical Center Blvd, Winston-salem, NC 27157
Phone: 3367163465

BRENT FREDERICK (NPI# 1053707307) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053707307
Entity Type Individual
Full Name BRENT FREDERICK
Credential D.O.
Practice Address Medical Center Blvd
Winston-salem
NC 27157
Mailing Address Medical Center Blvd
Winston Salem
NC 27157-0001
Practice Telephone 3367163465
Mailing Telephone 3367164490
Enumeration Date 2015-04-14
Last Update Date 2018-06-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208M00000X Hospitalist 2018-01512 NC Allopathic & Osteopathic Physicians

Other Providers BRENT FREDERICK

NPI Name Taxonomy Address Enumeration
1407306046 Brent Frederick Pharmacist 5717 Ne 138th Ave, Portland, OR 97230-3409 2016-10-06

Office Location

Street Address MEDICAL CENTER BLVD
City WINSTON-SALEM
State NC
Zip Code 27157

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013365758 Trevor James Tyner Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston-salem, NC 27103 2016-06-02
1245685866 Megan Brock Student in an Organized Health Care Education/Training Program Medical Center Blvd, Wake Forest Baptist Medical Center, Dept of Pediatrics, Winston-salem, NC 27157 2016-05-02
1871961573 Daniel Smith Nurse Anesthetist, Certified Registered Medical Center Blvd, Winston-salem, NC 27157-0001 2015-09-11
1265819692 Maria-carolina Orbay Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston-salem, NC 27103 2015-05-06
1720491889 Tiffany Earle Student in an Organized Health Care Education/Training Program Medical Center Blvd, Winston-salem, NC 27103 2014-06-06
1881822856 Christopher James Edwards Anesthesiology Medical Center Blvd, Wake Forest University, Baptist Medical Center, Winston-salem, NC 27157 2009-06-29
1245408988 Archana Manoj Shah Anesthesiology Medical Center Blvd, Winston-salem, NC 27157-0001 2008-02-15
1962684514 Christina Natale Condon Nurse Practitioner Medical Center Blvd, Winston-salem, NC 27157-0001 2007-12-05
1790966356 Hirenkumar Babubhai Patel Pediatrics Medical Center Blvd, Winston-salem, NC 27157-1184 2007-11-23
1124210950 Daniel Edward Couture Neurological Surgery Medical Center Blvd, Winston-salem, NC 27157-0001 2007-08-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1255960241 Alexandra Marie Balmaceda Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Center Pathology Dept, #1 Medical Center Blvd., Winston-salem, NC 27157 2020-04-02
1164916680 Jorie Elizabeth Gatts Student in an Organized Health Care Education/Training Program Wake Forest Baptist Medical Department of Pediatrics, Winston Salem, NC 27157 2018-06-18
1932606555 Alexi Rae Ellington Webb Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine, Dept of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 2018-04-10
1851896674 Wasim Muhammad Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine Dept. of Psychiatry, Medical Center Blvd, Winston Salem, NC 27157 2018-03-25
1336643535 Phillip Martin Kostelic Student in an Organized Health Care Education/Training Program Anesthesiology - Wake Forest Baptist Medical Center, 1 Medical Center Blvd, Winston-salem, NC 27157 2018-03-21
1831693324 Aleah Bond Student in an Organized Health Care Education/Training Program Anesthesiology Wake Forest Baptist Medical Center, Medical Center Boulevard, Winston-salem, NC 27157 2018-03-20
1134644859 Ilan Binyamin Klein Urology Wake Forest Baptist Health, Department of Urology, Medical Center Boulevard, Winston-salem, NC 27157 2017-08-03
1023467529 Edward John Doyle IIi Student in an Organized Health Care Education/Training Program Wake Forest School of Medicine Dept. of Otolaryngology, Watlington Hall 4th Fl. Medical Center Boulevard, Winston-salem, NC 27157 2016-06-07
1477917888 Jordan Mae Burner Student in an Organized Health Care Education/Training Program Graduate Medical Education Office, Wake Forest Baptist Medical Center, Medical Center Blvd, Winston-salem, NC 27157 2016-04-12
1174900476 Kate Elise Winterbottom Speech-Language Pathologist 4 Janeway Medical Center Blvd, Hearing and Speech, Winston Salem, NC 27157 2015-05-06
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Taxonomy Information

Taxonomy Code 208M00000X
Grouping Allopathic & Osteopathic Physicians
Classification Hospitalist

Taxonomy Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1497377683 David W. Emison Hospitalist 6524 Donnegal Farm Rd, Charlotte, NC 28270-0888 2020-05-11
1477086445 Patrick Aaron Mccann Hospitalist Medical Center Blvd Watlington Hall 3rd Floor, Winston Salem, NC 27157-0001 2017-04-06
1548656150 Jesse David Rhodes Hospitalist Hospital Medicine, Duke University Hospital, 40 Duke Medicine Circle, Durham, NC 27710 2015-04-09
1477942613 Optimed Hospitalists, Pllc Hospitalist 108 S Main St Ste E, Davidson, NC 28036-8096 2015-01-12
1235543356 Philip Chu Hospitalist 2301 Erwin Rd Cb 2918, Durham, NC 27710 2014-06-17
1245676808 Sandra Beth Brown Hospitalist 2301 Erwin Road Duke University Medical Center, Durham, NC 27710-7160 2013-05-22
1710278155 Elias Ashame Md Pllc Hospitalist 5306 Millstone Ct, Belmont, NC 28012-7528 2011-04-19
1619206133 Knd Development 59 LLC Hospitalist 2401 Southside Blvd, Greensboro, NC 27406-3311 2009-12-11
1871756890 Robin Edwin Hospitalist 1900 Kildaire Farm Rd Dept Of, Cary, NC 27518-6616 2008-07-09
1154583664 Nishant Dhungel Hospitalist 101 Shorelake Dr, Apt# 112 F, Greensboro, NC 27455-2487 2008-06-26
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Competitor

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City WINSTON-SALEM
Zip Code 27157

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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