DR. FREDERICK BRUCE PERRY D.O.
NPI 1811073109
Emergency Medicine in Port Byron, IL

Active since October 28, 2006
1012 S HIGH ST, PORT BYRON, IL 61275(563) 529-4411 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Male
  • Emergency Medicine

About FREDERICK PERRY

This page provides the complete NPI Profile along with additional information for Frederick Perry, a provider established in Port Byron, Illinois with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1811073109 assigned on October 2006. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an individual and his NPI record was last updated 19 years ago.

NPI
1811073109 Verify this NPI
Provider Name
DR. FREDERICK BRUCE PERRY D.O.
Gender
Male
Entity Type
Individual
Location Address
1012 S HIGH ST PORT BYRON, IL 61275
Location Phone
(563) 529-4411
Mailing Address
1012 S HIGH ST PORT BYRON, IL 61275
Mailing Phone
(563) 529-4411
Is Sole Proprietor?
Yes
Enumeration Date
10-28-2006
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License State
IA
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
D46445MEDICARE UPIN (02) 

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811073109, enumerated as an "individual" on October 28, 2006.

The provider is located at 1012 S HIGH ST PORT BYRON, IL 61275 and the phone number is (563) 529-4411.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.