Individual
FREDERICK A MARTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1958 W STATE ST, BRISTOL, TN 37620-1940
(423) 574-7575
(423) 574-7576
Mailing address
1958 W STATE ST, BRISTOL, TN 37620-1940
(423) 574-7575
(423) 574-7576
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD35685
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010178835
—
VA
01
—
179765
ANTHEM PROVIER #
VA
05
—
3707101
—
TN
01
—
4107515
BCBS TN
TN
01
—
4338099
AETNA#
—
01
—
62172092012
JOHN DEERE #
TN
Enumeration date
09/20/2005
Last updated
05/31/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us