Provider Demographics
NPI:1891762399
Name:FREUND, VICTOR THOMAS (MD)
Entity Type:Individual
Prefix:DR
First Name:VICTOR
Middle Name:THOMAS
Last Name:FREUND
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 STAR HILL FARM RD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-0928
Mailing Address - Country:US
Mailing Address - Phone:252-847-1550
Mailing Address - Fax:
Practice Address - Street 1:2325 STANTONSBURG RD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-7534
Practice Address - Country:US
Practice Address - Phone:252-847-1550
Practice Address - Fax:252-847-0398
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36793207T00000X
NC200000215207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
0600367OtherUNITED HEALTHCARE
2998340OtherCIGNA
VI010190983Medicaid
127GHOtherBCBS
38153OtherPARTNERS
NC5908300Medicaid
195994OtherMEDCOST
TN3878272Medicare ID - Type Unspecified
NC5908300Medicaid
VI010190983Medicaid