Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Bruce E Fredrickson, MD

Orthopaedic Surgery of the Spine Physician in Syracuse, NY · enumerated 2005.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1477558492

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Registry record

Entity type Individual (Type 1)

Name Dr. Bruce E Fredrickson

Credential MD

Sex Male

Practice address 550 Harrison St, Ste 130, Syracuse, NY, 13202

Phone (315) 464-4472

Fax (315) 464-5223

Enumeration date Jun 16, 2005

Last updated in NPPES Oct 5, 2007

Taxonomy & licenses

207XS0117X Orthopaedic Surgery of the Spine Physician Allopathic & Osteopathic Physicians · License 122366 (NY) Primary

207X00000X Orthopaedic Surgery Physician Allopathic & Osteopathic Physicians · License 122366 (NY) Secondary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
00522514	Medicaid	NY	-
122366	Other	NY	LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Bruce Fredrickson?

The National Provider Identifier (NPI) for Bruce Fredrickson is 1477558492, a Type 1 (individual) record in the CMS NPPES registry.

Where does Bruce Fredrickson practice?

The practice location on file with NPPES is in Syracuse, NY. Providers can have multiple locations; NPPES lists the primary practice address.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-10-05.