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MR. BRIAN T FRETWELL PAC MPH NPI 1508930843


NPI Information

NPI: 1508930843
Provider Name: MR. BRIAN T FRETWELL, PAC MPH
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
2121 N OCOEE ST
SUITE 101
CLEVELAND, TN
ZIP 37311
Phone: (423) 472-6548
Get Directions

MR. Brian T Fretwell, PAC MPH is a family medicine in Cleveland, TN. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. MR. Brian T Fretwell, PAC MPH NPI is 1508930843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2121 N OCOEE ST
SUITE 101
CLEVELAND, TN
ZIP 37311-953
Phone: (423) 472-6548
Fax: (423) 472-8318

The NPI 1508930843 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 11/20/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine1070TENNESSEEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1FP62706OTHERTENNESSEEWORKERS COMP
23662424MEDICAIDTENNESSEE
33719099MEDICARE PINTENNESSEE
43662424MEDICARE ID-TYPE UNSPECIFIEDTENNESSEE
50140208OTHERTENNESSEEUNITED HEALTHCARE
6TN0101OTHERTENNESSEEJOHN DEERE
72000307OTHERTENNESSEEBCBS OF TN
8Q20537MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.