Dr. Robert W Frederick, MD
Dr. Robert W Frederick is a Urology Physician provider (Urology) practicing in Longview, TX, registered in the NPPES registry with NPI 1780658112 since 2006. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1780658112 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Robert W Frederick |
| Credential | MD |
| Sex | Male |
| Practice address | 703 E MARSHALL AVE STE 5007, Longview, TX, 75601 |
| Phone | 9033154455 |
| Fax | 9033152466 |
| Enumeration date | 2006-02-14 |
| Last updated in NPPES | 2018-07-11 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208800000X | Urology Physician | Primary | K7155 | TX |
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 |
|---|---|---|---|
| 145418306 | Medicaid | TX | — |
| 145418307 | Medicaid | TX | — |
| 75-2616977-007 | Other | TX | TRICARE-DOUGLAS |
| 752616977029 | Other | TX | TRICARE ATHENS LOCATION |
| 75-2616977-126 | Other | TX | TRICARE |
| 75-2616977-029 | Other | TX | TRICARE |
| 145418308 | Medicaid | TX | — |
Copy-ready billing details
Provider: Robert Frederick, MD NPI: 1780658112 Taxonomy: 208800000X (Urology Physician) Address: 703 E MARSHALL AVE STE 5007, Longview, TX, 75601
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1861848061 | Bao Nguyen | Individual | Clinical Cardiac Electrophysiology Physician | Longview, TX |
Verify this record
Cross-check NPI 1780658112 against the authoritative CMS record: view Dr. Robert W Frederick on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
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Is NPI 1780658112 active?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2018-07-11.