Individual
DR. FRAZIER T FORTENBERRY JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
630 PETER JEFFERSON PKWY, SUITE 135, CHARLOTTESVILLE, VA 22911-8605
(434) 244-5722
(434) 244-5723
Mailing address
630 PETER JEFFERSON PKWY, SUITE 135, CHARLOTTESVILLE, VA 22911-8605
(434) 244-5722
(434) 244-5723
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101044989
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14120
COMMUNITY HEALTH
VA
01
—
204175
SOUTHERN HEALTH
VA
01
—
23555
CIGNA
VA
01
—
340000300
MEDICARE
VA
01
—
367104
MAMSI
VA
01
—
461522
ANTHEM SERVICES
VA
01
—
P00003207
MEDICARE PIN
VA
Enumeration date
09/30/2005
Last updated
07/21/2011
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