Provider Demographics
NPI:1134214927
Name:FRAME, BARRY DEAN (MD)
Entity type:Individual
Prefix:DR
First Name:BARRY
Middle Name:DEAN
Last Name:FRAME
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 1:930 E EMERALD AVE
Mailing Address - Street 2:SUITE 719
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37917-4539
Mailing Address - Country:US
Mailing Address - Phone:865-521-7251
Mailing Address - Fax:865-521-7263
Practice Address - Street 1:930 E EMERALD AVE
Practice Address - Street 2:SUITE 719
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37917-4539
Practice Address - Country:US
Practice Address - Phone:865-521-7251
Practice Address - Fax:865-521-7263
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNMD0009682174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN0004402OtherBLUE CROSS-BLUE SHIELD
TN3181816Medicaid
TN3181816Medicaid
TN0004402OtherBLUE CROSS-BLUE SHIELD