MARSHALL BUCKLEY FRYMAN M.A.
NPI 1366081895
Counselor - Professional in Fontana, CA

Active since January 01, 2020PECOS EnrolledAccepts Medicare Assignment
15217 SAN BERNARDINO AVE, FONTANA, CA 92335(951) 643-2150 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 23, 2022, Sep 13, 2021, Jun 16, 2021 and 1 more (4 updates tracked since 2020).

About Marshall Buckley Fryman M.a. NPPES

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

MARSHALL BUCKLEY FRYMAN M.A. (NPI 1366081895) is an individual professional provider in Fontana, California, licensed in California (17226) and active in the NPI registry since January 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1366081895
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameMARSHALL BUCKLEY FRYMANCredential: M.A.
Location Address15217 SAN BERNARDINO AVEFontana, CA 92335-5327
Mailing Address15217 San Bernardino AveFontana, CA 92335-5327 · (951) 643-2150
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 1, 2020
Last NPPES UpdateAugust 27, 20244 updates tracked since enumeration
NPPES CertifiedAugust 27, 2024
NPI 1366081895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in CA · 17226
15217 SAN BERNARDINO AVE, Fontana, CA 92335

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Marshall Buckley Fryman M.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062943731
PECOS Enrollment IDI20241004002446
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 19

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

Marriage & Family Therapist
15217 SAN BERNARDINO AVE
FONTANA, CA 92335
Licensed Psychiatric Technician
15217 SAN BERNARDINO AVE
FONTANA, CA 92335
Licensed Vocational Nurse
15217 SAN BERNARDINO AVE
FONTANA, CA 92335
Licensed Psychiatric Technician
15217 SAN BERNARDINO AVE
FONTANA, CA 92335
Marriage & Family Therapist
15217 SAN BERNARDINO AVE
FONTANA, CA 92335
Registered Nurse
15217 SAN BERNARDINO AVE
FONTANA, CA 92335
Community Based Residential Treatment Facility, Mental Illness
15217 SAN BERNARDINO AVE
FONTANA, CA 92335
Licensed Psychiatric Technician
15217 SAN BERNARDINO AVE
FONTANA, CA 92335

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 Marshall Fryman's NPI number?

The NPI number for Marshall Fryman is 1366081895. It was assigned to this individual provider in the NPPES registry on January 1, 2020.

Where is Marshall Fryman located?

Marshall Fryman practices at 15217 San Bernardino Ave, Fontana, CA 92335. The listed phone number is (951) 643-2150.

What is Marshall Fryman's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Marshall Fryman enrolled in Medicare?

Yes. Marshall Fryman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Marshall Fryman was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.