Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
CHARLES E FREDERICKS
Active
Individual
CHARLES E FREDERICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
28703
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3062222
BLUECROSS
TN
01
—
3110235
STONES RIVER IPA
TN
05
—
3816000
—
TN
01
—
64028434
KY MEDICAID
KY
Enumeration date
06/18/2006
Last updated
06/10/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up