BRUCE E. FREDRICKSON MD – NPI #1477558492
Orthopaedic Surgery
Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
BRUCE FREDRICKSON is an orthopaedic surgeon located in SYRACUSE, NY. NPPES has assigned the NPI number 1477558492 to BRUCE FREDRICKSON on June 16, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207XS0117X from the Health Care Provider Taxonomy code set, which is classified as Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine
The NPI profile was previously updated about 19 years ago on Oct 05, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BRUCE FREDRICKSON below.
NPI Profile for
BRUCE E. FREDRICKSON
(about 21 years ago)
STE 130
SYRACUSE, NY 13202-3064 Phone: (315) 464-4472 Fax: (315) 464-5223
Identifiers for BRUCE FREDRICKSON
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| OTHER | LICENSE | NY | 122366 |
| MEDICAID | NY | 00522514 |
A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.
| Taxonomy Classification / Specialization | State | License |
|---|---|---|
| 207XS0117X - Orthopaedic Surgery / Orthopaedic Surgery of the Spine (Primary) |
NY | 122366 |
| 207X00000X - Orthopaedic Surgery |
NY | 122366 |
The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.