FRED FOMBRUN PA-C
NPI 1730590829
Physician Assistant - Medical in Henderson, NV
About Fred Fombrun Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FRED FOMBRUN PA-C (NPI 1730590829) is an individual medical provider in Henderson, Nevada, licensed in Nevada (PA1527) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Southern Hills Hospital And Medical Center, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
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
Fred Fombrun Pa-c 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southern Hills Hospital And Medical Center
Acute Care Hospitals · Las Vegas, NVOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Fred Fombrun's NPI number?
The NPI number for Fred Fombrun is 1730590829. It was assigned to this individual provider in the NPPES registry on May 12, 2014.
Where is Fred Fombrun located?
Fred Fombrun practices at 2380 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89052. The listed phone number is (972) 656-0493.
What is Fred Fombrun's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Fred Fombrun enrolled in Medicare?
Yes. Fred Fombrun 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.
Is Fred Fombrun affiliated with any hospitals?
According to CMS data, Fred Fombrun is affiliated with Southern Hills Hospital And Medical Center.
When was this NPI record last updated?
The NPPES record for Fred Fombrun was last updated on May 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Fred Fombrun, PA-C · NPI 1730590829
Medical physician in Henderson, Nevada. Individual provider, active in the CMS NPPES registry since May 12, 2014.
## Identity
- **NPI:** 1730590829 (Entity type: Individual)
- **Enumerated:** May 12, 2014
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** PA1527 (Nevada)
- **Sole proprietor:** No
## Practice location
- **Address:** 2380 W HORIZON RIDGE PKWY STE 110, Henderson, NV 89052-5078
- **Phone:** (972) 656-0493
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** May 12, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1730590829) · Data from the CMS NPPES public registry.