Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum
Dr. Robert W Frederick, MD
Urology Physician in Longview, TX · enumerated 2006.
Data current as of Jul 13, 2026 · sourced from CMS NPPES
National Provider Identifier
1780658112
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Registry record
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 (903) 315-4455
Fax (903) 315-2466
Enumeration date Feb 14, 2006
Last updated in NPPES Jul 11, 2018
Taxonomy & licenses
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 | - |
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.
Frequently asked questions
How do I verify Robert Frederick's NPI record?
Cross-check NPI 1780658112 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1780658112 active?
Yes, as of the latest NPPES snapshot, NPI 1780658112 is active (record last updated 2018-07-11).
Other providers at this practice address
Browse all →Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2018-07-11.