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FRAZIER T FORTENBERRY JR MD PLC
NPI 1215960224
Urology in Charlottesville, VA

Active since July 10, 2006CLIA 49D1010335 · Microscopy
630 PETER JEFFERSON PKWY, SUITE 135, CHARLOTTESVILLE, VA 22911(434) 244-5722(434) 244-5723 Get Directions Write a Review

NPPES record last updated: August 9, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Frazier T Fortenberry Jr Md Plc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRAZIER T FORTENBERRY JR MD PLC (NPI 1215960224) is a healthcare organization registered as an urology in Charlottesville, Virginia and active in the NPI registry since July 2006. The organization holds a CLIA Microscopy certificate valid through August 7, 2027 and lists Frazier T Fortenberry, Owner, as its authorized official.

NPPES Registry Identity

NPI1215960224
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameFRAZIER T FORTENBERRY JR MD PLC
Location Address630 PETER JEFFERSON PKWY, SUITE 135Charlottesville, VA 22911-8605
Mailing Address630 Peter Jefferson Pkwy, Suite 135Charlottesville, VA 22911-8605 · (434) 244-5722 · Fax (434) 244-5723
Phone(434) 244-5722
Fax(434) 244-5723
Organization SubpartNo
Authorized OfficialFrazier T FortenberryOwner · (434) 244-5722
Enumeration DateJuly 10, 2006
Last NPPES UpdateAugust 9, 2011
✔ NPI 1215960224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
630 PETER JEFFERSON PKWY, Charlottesville, VA 22911
Open in Google Maps ↗

Other Identifiers 2

OtherDA1531VA · Medicare Pin
Medicare PINC08653VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D1010335

Frazier T Fortenberry, Jr, MD, Plc Adult And Pediatric Urology · Charlottesville, VA
Active · expires Aug 7, 2027
CLIA Number49D1010335
Laboratory TypePhysician Office
Certificate Effective DateAugust 8, 2025
Certificate Expiration DateAugust 7, 2027
Laboratory DirectorFrazier T. Fortenberry, Jr, MD
Laboratory Phone(434) 244-5722
Laboratory LocationFrazier T Fortenberry, Jr, MD, Plc Adult And Pediatric Urology630 Peter Jefferson Parkway - Suite 135, Charlottesville, VA 22911
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OCULOPLASTICS AND ORBITAL CONSULTANTS PLC
Ophthalmology
630 PETER JEFFERSON PKWY, SUITE 140
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 244-8610
TLC WHITTEN LASER EYE ASSOCIATES, LLC
Clinic/Center
630 PETER JEFFERSON PKWY, STE. 180
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 817-5273
DR. FRAZIER T FORTENBERRY JR. MD
Urology
630 PETER JEFFERSON PKWY, SUITE 135
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 244-5722
DR. ADAM JAMES SWEENEY O.D.
Optometrist
630 PETER JEFFERSON PKWY, SUITE 180
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 817-5280
OSTEOPATHIC PHYSICIANS OF CHARLOTTESVILLE
Pain Medicine (Interventional Pain Medicine)
630 PETER JEFFERSON PKWY, SUITE 170
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 975-2555
ABC THERAPY,LLC
Physical Medicine & Rehabilitation
630 PETER JEFFERSON PKWY
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 975-2555
SARA ALICE KALTREIDER M.D.
Ophthalmology
630 PETER JEFFERSON PKWY, SUITE 140
CHARLOTTESVILLE, VA 22911
Albemarle County (434) 244-8610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Frazier T Fortenberry Jr MD Plc's NPI number?

The NPI number for Frazier T Fortenberry Jr MD Plc is 1215960224. It was assigned to this organization in the NPPES registry on July 10, 2006.

Where is Frazier T Fortenberry Jr MD Plc located?

Frazier T Fortenberry Jr MD Plc is located at 630 Peter Jefferson Pkwy Suite 135, Charlottesville, VA 22911. The listed phone number is (434) 244-5722.

What is Frazier T Fortenberry Jr MD Plc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Frazier T Fortenberry Jr MD Plc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 49D1010335) is associated with this NPI, valid through August 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Frazier T Fortenberry Jr MD Plc was last updated on August 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.