MR. RONALD DERALD FRYAR JR. IDC
NPI 1700090685
Military Health Care Provider - Independent Duty Corpsman in Ingleside, TX

Q: What is Ronald Fryar's NPI number?

The NPI number for Ronald Fryar is 1700090685. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Q: What is Ronald Fryar's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

Q: When was this NPI record last updated?

The NPPES record for Ronald Fryar was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since May 09, 2007

1451 LEXINGTON DRIVE, INGLESIDE, TX 78362(361) 776-4077 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Ronald Derald Fryar Jr. Idc NPPES

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

MR. RONALD DERALD FRYAR JR. IDC (NPI 1700090685) is an individual independent duty corpsman provider in Ingleside, Texas and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1700090685

Entity TypeIndividualMale

Primary Taxonomy1710I1002X

Provider Legal NameMR. RONALD DERALD FRYAR JR.Credential: IDC

Location Address1451 LEXINGTON DRIVEIngleside, TX 78362

Mailing Address1130 La MiradaPortland, TX 78374-4133 · (361) 643-5833

Phone(361) 776-4077

Sole ProprietorNo

Enumeration DateMay 9, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1700090685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care Provider · Independent Duty CorpsmanOther Service Providers

Taxonomy Code1710I1002X

Definition

A Navy Independent Duty Corpsman (IDC) is an active duty Sailor who has successfully completed one of the Navy's specific IDC training programs. IDCs are formally trained and educated to perform primary medical care and minor surgical services in a variety of health care and non-health care settings worldwide under indirect physician supervision. IDCs provide care to Department of Defense operational forces and other supporting forces such as contractors and foreign nationals.

1451 LEXINGTON DRIVE, Ingleside, TX 78362

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Other Providers at the Same Location NPPES

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

MR. JASON PAUL FECHNER IDC

Military Health Care Provider (Independent Duty Corpsman)

1451 LEXINGTON DRIVE, COMCMRON2
INGLESIDE, TX 78362

San Patricio County (619) 302-9838

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 Ronald Fryar's NPI number?

The NPI number for Ronald Fryar is 1700090685. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Ronald Fryar located?

Ronald Fryar practices at 1451 Lexington Drive, Ingleside, TX 78362. The listed phone number is (361) 776-4077.

What is Ronald Fryar's specialty?

The primary specialty registered for this NPI is Military Health Care Provider, specializing in Independent Duty Corpsman, with taxonomy code 1710I1002X.

When was this NPI record last updated?

The NPPES record for Ronald Fryar was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.