Dr Bruce Fried, MD | |
289 Ireland Ave, Ireland Army Community Hospital, Fort Knox, KY 40121-5111 | |
(502) 624-9007 | |
(502) 624-0252 |
Full Name | Dr Bruce Fried |
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Gender | Male |
Speciality | Family Medicine |
Location | 289 Ireland Ave, Fort Knox, Kentucky |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1447337928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | F6185 (Texas) | Primary |
Entity Name | Concord Medical Group Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531 |
Entity Name | Concord Medical Group Of Texas Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750790762 PECOS PAC ID: 7810117223 Enrollment ID: O20141007002567 |
Mailing Address | Practice Location Address |
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Dr Bruce Fried, MD 1307 3rd Ave, Attn:rccs-surg, Fort Knox, KY 40121-2725 Ph: (502) 626-1128 | Dr Bruce Fried, MD 289 Ireland Ave, Ireland Army Community Hospital, Fort Knox, KY 40121-5111 Ph: (502) 624-9007 |
Paul Bricker, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 871 Brule St, Fort Knox, KY 40121 Phone: 512-660-4776 | |
Clarisa Ballarta Colchado, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 433 192nd Tank Bn Road, Bldg 853, Fort Knox, KY 40121 Phone: 502-624-3149 | |
Dean Richard Giulitto, D. O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 851 Ireland Ave, Ireland Army Community Hospital, Fort Knox, KY 40121 Phone: 502-624-0220 | |
Dr. Renee L Dodge, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 289 Ireland Ave, Bldg 851 Va Clinic, Fort Knox, KY 40121 Phone: 502-624-0235 | |
Michael W. Sullivan, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 Spearhead Division Ave Dept 140, Fort Knox, KY 40122 Phone: 502-613-4605 Fax: 502-613-4549 | |
Dr. Edwin S Chelli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 289 Ireland Ave, Fort Knox, KY 40121 Phone: 812-526-1135 Fax: 812-526-1768 |