Brian Shane Frederick in Spartanburg - Emergency Medicine

Brian Shane Frederick - NPI 1699860015

Brian Shane Frederick is a Emergency Medicine in Spartanburg, South Carolina. Brian Shane Frederick practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Brian Shane Frederick is 1699860015. The last update date is 2021-01-04.

Brian Shane Frederick's current location address is 101 E Wood St, Spartanburg, South Carolina. You can contact this provider via phone number 8645607025 and fax number 8645607388. The mailing address for Brian Shane Frederick is 101 E Wood St, Spartanburg, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Name Brian Shane Frederick
Address 101 E Wood St, Spartanburg, South Carolina
Phone Number 8645607025
Fax Number 8645607388
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1699860015
Provider Enumeration Date 2006-10-03
Last Updated Date 2021-01-04

Provider Mailing Address Detail

Address 101 E Wood St
City Spartanburg
State South Carolina (SC)
Post Code 293033040
Phone Number 8645607025
Fax Number 8645607388

Provider's Primary Taxonomy Detail

Speciality Emergency Medicine
Taxonomy 207P00000X
Licence No R0699
Definition:
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
P00879458 SC RAILROAD MEDICARE
5910691 NC --
238157 SC --

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FAQs about Brian Shane Frederick

What is the unique 10-digit identifier code assigned to Brian Shane Frederick by the Centers for Medicare & Medicaid Services?

The Brian Shane Frederick has been issued the NPI (National Provider Identifier) 1699860015 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Can you provide the Brian Shane Frederick's physical address?

The Brian Shane Frederick is physically located at 101 E Wood St, in the city of Spartanburg, SC, with the postal code 293033040.

What is Brian Shane Frederick's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Brian Shane Frederick is Emergency Medicine, and the corresponding taxonomy classification code for this specialized field is 207P00000X.

On what date did the Brian Shane Frederick receive the assignment of its 1699860015 from the Centers for Medicare & Medicaid Services?

The Brian Shane Frederick was issued its 1699860015 by the Centers for Medicare & Medicaid Services on 2006-10-03.

When was the information pertaining to Brian Shane Frederick most recently updated or revised?

The details related to Brian Shane Frederick, including its address, specialty, and other relevant information, were last updated or revised on 2021-01-04.

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