ROBERT M FREDERICKSON

Address: 513 Brookwood Blvd, Suite 50, Birmingham, AL 35209-6862
Phone: 2058772761

ROBERT M FREDERICKSON (NPI# 1306955497) 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) 1306955497
Entity Type 1 - Individual
Full Name ROBERT M FREDERICKSON
Credential MD
Practice Address 513 Brookwood Blvd
Suite 50
Birmingham
AL 35209-6862
Practice Telephone 2058772761
Practice Fax Number 2058772399
Enumeration Date 08/30/2006
Last Update Date 05/22/2008
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine 14145 AL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CIGNA 631266801 0041 01
AL 9960800 05
VIVA E46611 01
MEDICARE RAILROAD 110224928 01
AL BLUE CROSS 51503327 01

Office Location

Street Address 513 BROOKWOOD BLVD
SUITE 50
City BIRMINGHAM
State AL
Zip Code 35209-6862

Providers with the same location

NPI Name Address
1073599023 DR. UNAL TUTAK 513 Brookwood Blvd, Suite 101, Birmingham, AL 35209-6862
1003882721 DR. RICHARD IRA KIRKLAND 513 Brookwood Blvd, Suite 501, Birmingham, AL 35209-6862
1598731218 DR. CHARLES RAYMOND SHUMATE 513 Brookwood Blvd, Suite 501, Birmingham, AL 35209-6862
1891761557 MICHAEL BYRNE LITTLETON 513 Brookwood Blvd, Suite 501, Birmingham, AL 35209-6862
1851368757 LAWRENCE J LEMAK 513 Brookwood Blvd, Suite 350, Birmingham, AL 35209-6862
1821065285 SURGICAL ASSOCIATES. P.C. 513 Brookwood Blvd, Bpm 501, Birmingham, AL 35209-6862
1568424760 DRS. CHADBAND & ROWLAND, P.C. 513 Brookwood Blvd, Suite 200, Birmingham, AL 35209-6862
1720040025 MICHAEL JOSEPH ROWLAND 513 Brookwood Blvd, Suite 400, Birmingham, AL 35209-6862
1770536419 MRS. KRISTINA SUMMERS GIDLEY 513 Brookwood Blvd, Suite 372, Birmingham, AL 35209-6862
1437101185 DR. SWAID NOFAL SWAID 513 Brookwood Blvd, Suite 372, Birmingham, AL 35209-6862

Competitor

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City BIRMINGHAM
Zip Code 35209

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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.