Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CHAD FREDERICKSON
ActiveCHAD FREDERICKSON is a Sports Medicine (PM&R) healthcare provider located in BATON ROUGE, Louisiana. NPI 1104262617 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (PM&R) · BATON ROUGE, LA
Registration Details
- NPI Number
- 1104262617
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 13, 2013 (13.214612191965 yrs)
- Last Updated
- May 1, 2025
- Licenses
-
ATH.200132 (LA)ATH.200132 (LA)
Practice Information
- Address
-
INFIRMARY RDBATON ROUGE, LA, 708032401Browse LA providers · Browse ZIP 70803
- Phone
- 2255785633
- Fax
- 2255785655
- Primary Specialty
-
Sports Medicine (PM&R)
2081S0010X
- Additional Specialty
- Sports Medicine (PM&R)
Other Sports Medicine (PM&R) Providers in BATON ROUGE, LA
| Name | Credential | NPI |
|---|---|---|
| HANNAH ROUDEBUSH | — | 1922667641 |
| MARIA BERTHIAUME | MS, LAT, ATC | 1962062729 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.