BRYAN D FREDRICK MD LLC (NPI# 1801106257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801106257 |
| Entity Type | Organization |
| Organization Name | BRYAN D FREDRICK MD LLC |
| Practice Address |
1409 S Waterview Dr Inverness FL 34450-3585 |
| Mailing Address |
Po Box 609 Inverness FL 34451-0609 |
| Practice Telephone | 3527269457 |
| Mailing Telephone | 3527256945 |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |
| Authorized Official Name | BRYAN D FREDRICK (OWNER) |
| Authorized Official Telephone | 3527269457 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | ME31083 | FL | Allopathic & Osteopathic Physicians |
| Street Address |
1409 S WATERVIEW DR |
| City | INVERNESS |
| State | FL |
| Zip Code | 34450-3585 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578077962 | Loving Care In Home Services Inc | In Home Supportive Care | 7936 E. Gulf To Lake Hwy, Inverness, FL 34450 | 2017-11-22 |
| 1366826687 | Samantha Lynn Sanders | Counselor | 3094 S Blackmountain Dr, Inverness, CA 34450 | 2015-07-16 |
| 1083000582 | Brent Mobley | Counselor | 1001 E Baker Street #1001, H.e.a.d.s Usa, Plant City, FL 34450 | 2015-04-10 |
| 1265833263 | Kenneth Heimann | Pharmacist | 214 U.S. Hwy 41 South, Inverness, FL 34450 | 2014-09-09 |
| 1437490471 | Dawn Marie Elliott | Dietitian, Registered | 453 Landing Blvd., Inverness, FL 34450 | 2013-03-14 |
| 1720331028 | Erica's Equities Inc. | Assisted Living Facility | 109 N. Seminole Ave., Inverness, FL 34450 | 2012-10-24 |
| 1629320080 | Debbie L Kelley | Counselor | 107 Dr. Martin Luther King Jr. Ave, Suite 2, Inverness, FL 34450 | 2012-10-10 |
| 1023393899 | Timothy Clayton Rowell | Social Worker | 107 Dr Martin Luther King Jr Ave Ste 1, Inverness, FL 34450 | 2011-10-12 |
| 1922249986 | West Florida Medical Associates, Pa | Family Medicine | 511 W Highland Ave., Inverness, FL 34450 | 2009-03-20 |
| 1710019625 | Thomas Hibberd | Psychologist | 105 W. Dampier Street, Inverness, FL 34450 | 2007-03-09 |
| Find all providers in zip 34450 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275671950 | Citrus Emergency Services, Pa | Emergency Medicine | 405 Tompkins St, Inverness, FL 34450-4138 | 2007-02-02 |
| 1528124088 | Bryan D Fredrick | Emergency Medicine | 121 S Citrus Ave, Inverness, FL 34452 | 2006-12-29 |
| 1760423172 | Kanta Saigal | Emergency Medicine | 1903 Highway 44 W, Inverness, FL 34453-3801 | 2006-06-09 |
| 1316488570 | Spencer Elliott Barela | Emergency Medicine | 502 W Highland Blvd, Inverness, FL 34452-4720 | 2017-03-20 |
| 1629468350 | Barracuda Emergency Physicians LLC | Emergency Medicine | 502 W Highland Blvd, Inverness, FL 34452-4720 | 2015-02-03 |
| 1538316591 | Phoenix Emergency Services of Inverness LLC | Emergency Medicine | 502 W Highland Blvd, Inverness, FL 34452-4720 | 2008-08-21 |
| 1528124054 | William Bernhart | Emergency Medicine | 502 W Highland Blvd, Inverness, FL 34452-4720 | 2006-12-29 |
| 1194881649 | Patrick Jean | Emergency Medicine | 502 W Highland Blvd, Inverness, FL 34452-4720 | 2006-12-29 |
| 1255367892 | Ayesha Nabila Hussein | Emergency Medicine | 502 W Highland Blvd, Citrus Memorial Hospital, Inverness, FL 34452-6327 | 2006-06-24 |
| 1346285459 | Mazin F Haddadin | Emergency Medicine | 502 W Highland Blvd, Inverness, FL 34452-4720 | 2006-06-20 |
| Find all providers in INVERNESS | ||||
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| 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.