Provider Demographics
NPI:1053374512
Name:FREMMING, BRET GORDON (MD)
Entity type:Individual
Prefix:DR
First Name:BRET
Middle Name:GORDON
Last Name:FREMMING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 W PEACHTREE ST
Mailing Address - Street 2:P.O. BOX 338
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35768-4327
Mailing Address - Country:US
Mailing Address - Phone:256-574-1100
Mailing Address - Fax:256-574-2700
Practice Address - Street 1:305 W PEACHTREE ST
Practice Address - Street 2:
Practice Address - City:SCOTTSBORO
Practice Address - State:AL
Practice Address - Zip Code:35768-4327
Practice Address - Country:US
Practice Address - Phone:256-574-1100
Practice Address - Fax:256-574-2700
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00021797207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51098790OtherBLUE CROSS
ALF37432Medicare UPIN