Provider Demographics
NPI:1487652012
Name:FREY, NORMAN JAMES III (DO)
Entity Type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:JAMES
Last Name:FREY
Suffix:III
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3000 BROWNSVILLE RD STE B
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15227-2469
Mailing Address - Country:US
Mailing Address - Phone:412-381-4200
Mailing Address - Fax:412-224-2738
Practice Address - Street 1:3000 BROWNSVILLE RD STE B
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15227-2469
Practice Address - Country:US
Practice Address - Phone:412-381-4200
Practice Address - Fax:412-224-2738
Is Sole Proprietor?:Yes
Enumeration Date:2005-07-08
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS004690L207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0001024482002Medicaid
PAD98710Medicare UPIN
PA145817Medicare PIN
080109656Medicare PIN