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MALCOLM R FRASER MD NPI 1861486177


NPI Information

NPI: 1861486177
Provider Name: MALCOLM R FRASER, MD
Classification: Family Medicine - 207QG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

Address:
605 LAMAR AVE
BROOKSVILLE, FL
ZIP 34601
Phone: (352) 799-5411
Get Directions

Malcolm R Fraser, MD is a geriatric medicine family medicine in Brooksville, FL. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. Malcolm R Fraser, MD NPI is 1861486177. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

605 LAMAR AVE
BROOKSVILLE, FL
ZIP 34601-211
Phone: (352) 799-5411
Fax: (352) 544-2713

The enumeration date for this NPI number is 9/1/2005 and was last updated on 9/22/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207QG0300XFamily MedicineGeriatric MedicineME36199FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D57361MEDICARE UPIN
2010065834OTHERFLORIDARAILROAD MEDICARE
362242CMEDICARE PINFLORIDA
462242DMEDICARE PINFLORIDA
562242EMEDICARE PINFLORIDA
6010066083OTHERFLORIDARAILROAD MEDICARE
762242OTHERFLORIDABC/BS FLA
8010066171OTHERFLORIDARAILROAD MEDICARE
9039210300MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.