Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1801899299 Deactivated / Inactive NPI Male Practitioner

Dr. Frederic Fries Bahnson , MD

Specialist • Brevard, NC

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Frederic Bahnson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 31, 2005
NPI Deactivation Date March 17, 2006
Total Practice Duration ~1 Years of Practice (2005 – 2006)

Professional Overview & Biography Verified Profile Summary

Dr. Frederic Bahnson, MD was a registered Specialist practicing in Brevard, NC. Throughout an active medical career spanning 1 years, Dr. Bahnson provided care at the practice location at 188 MEDICAL PARK DRIVE until profile deactivation on 2006-03-17.

Practice Location & Contact Primary Location

Practice Address

188 Medical Park Drive
Suite B

Brevard, NC 28712

Telephone 8288846702
Fax 8288846925
Associated Practice Facility / Clinic
🏢 Looking Glass Eye Center Pa Facility NPI 1275592271

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Brevard, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
5 Specialists

Practicing in Brevard, NC (945 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NC 18599

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
8910409 (NC)
Commercial Insurance / Payer ID United Health Care
1007740 (NC)
Commercial Insurance / Payer ID Blue Cross Blue Shield
10409 (NC)
Commercial Insurance / Payer ID Medcost
80389 (NC)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1659391837

Doctor of Medicine (M.D.)

NPI 1841581790

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
📍
Updated Practice Location July 09, 2007

Registered at 188 MEDICAL PARK DRIVE, SUITE B, BREVARD, NC 28712 (Tel: 8288846702)

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Updated Business Mailing Address July 09, 2007

Registered at 188 MEDICAL PARK DRIVE, SUITE B, BREVARD, NC 28712 (Tel: 8288846702)

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Provider Name / Credentials Updated July 09, 2007

Recorded as FREDERIC BAHNSON, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Specialist (License #18599 in NC)

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NPI Profile Reactivated March 24, 2006

Record officially reactivated for active practice on March 24, 2006

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NPI Profile Deactivated March 17, 2006

Record deactivated on March 17, 2006

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Initial NPI Registration & Enumeration May 31, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801899299
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 31, 2005
Last Update: July 09, 2007
Deactivation Date: March 17, 2006
Sole Proprietor: Yes

Mailing Address

188 Medical Park Drive, Suite B

Brevard, NC 28712

Phone: 8288846702

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.