Bryan D Fredrick (NPI# 1528124088, PAC ID# 8022170554) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1528124088 |
| PAC ID by PECOS | 8022170554 |
| Professional Enrollment ID | I20081217000597 |
| Full Name | Bryan D Fredrick |
| Organization Legal Name | BRYAN D FREDRICK MD LLC |
| Address |
1409 S Waterview Dr Inverness FL 34450-3585 |
| Phone Number | 3527269457 |
| Gender | M |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 2567649528 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100023 | CITRUS MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1409 S Waterview Dr, Inverness, FL 34450-3585 | 3527269457 | BRYAN D FREDRICK MD LLC |
| Organization Legal Name | BRYAN D FREDRICK MD LLC |
| Physicians | 1 |
| Street Address |
1409 S WATERVIEW DR |
| City | INVERNESS |
| State | FL |
| Zip | 34450-3585 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heidie Vasko | Physician Assistant | Project Health Inc | 120 N Montgomery Ave, Inverness, FL 34450-2439 |
| Rosalinda Pineiro | Family Medicine | Project Health Inc | 120 N Montgomery Ave, Inverness, FL 34450-2439 |
| Julia L Fashner | Family Medicine | Project Health Inc | 120 N Montgomery Ave, Inverness, FL 34450-2439 |
| Valerie Altman | Family Practice | Florida Department of Health | 120 N Montgomery Ave, Inverness, FL 34450-2439 |
| Habtu M Adera | Family Medicine | Adera and Adera Pa | 227 Ella Ave, Inverness, FL 34450-3911 |
| Jill P Adera | Family Medicine | Adera and Adera Pa | 227 Ella Ave, Inverness, FL 34450-3911 |
| Thomas Edward Hibberd | Psychologist, Clinical | 103 B N Apopka Ave, Inverness, FL 34450-4237 | |
| Irene L Logsdon | Clinical Social Worker | 107 Dr Martin Luther King Jr Ave, Suite 2, Inverness, FL 34450-4300 | |
| Timothy M Debruyn | Chiropractic | 107 Dr Martin Luther King Jr Ave, Suite 5, Inverness, FL 34450-4300 | |
| Deborah M Nordstrom | Clinical Social Worker | 111 W Main St, Suite 305, Inverness, FL 34450-4807 | |
| Find all physicians in zip 34450 | |||
| City | INVERNESS |
| Zip Code | 34450 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | INVERNESS + EMERGENCY MEDICINE |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.