Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. FREDERIC FRIES BAHNSON III, M.D.
Deactivated Sole ProprietorSpecialist · BREVARD, NC
This NPI has been deactivated.
The record was deactivated on March 17, 2006.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1801899299
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 31, 2005 (0.79452054794521 yrs)
- Last Updated
- Jul 9, 2007
- Deactivated
- Mar 17, 2006
- License
-
18599 (NC)
- Sole Proprietor
- Yes
Practice Information
- Address
-
188 MEDICAL PARK DRIVESUITE BBREVARD, NC, 28712Browse NC providers · Browse ZIP 28712
- Phone
- 8288846702
- Fax
- 8288846925
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in BREVARD, NC
| Name | Credential | NPI |
|---|---|---|
| ROBERT CHARLES HENDEL | M.D. | 1154306405 |
| KATHLEEN L MALLET | LPC | 1528275427 |
| NIKKI CONIGLIO | — | 1376871780 |
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.