Provider Demographics
NPI:1174544779
Name:FREEDMAN, ALAN I (MD)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:I
Last Name:FREEDMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1011 COVES PHEASANT CT
Mailing Address - Street 2:
Mailing Address - City:BILTMORE LAKE
Mailing Address - State:NC
Mailing Address - Zip Code:28715-8934
Mailing Address - Country:US
Mailing Address - Phone:561-716-2939
Mailing Address - Fax:
Practice Address - Street 1:1011 COVES PHEASANT CT
Practice Address - Street 2:
Practice Address - City:BILTMORE LAKE
Practice Address - State:NC
Practice Address - Zip Code:28715-8934
Practice Address - Country:US
Practice Address - Phone:561-716-2939
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2022-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2007-00230208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL378116000Medicaid
FLE65238Medicare UPIN
FL09862Medicare ID - Type Unspecified