Bradley J Edward Frericks, CPRS
Peer Specialist in Cincinnati, OH. Individual provider (NPI-1).
NPI number1063200434
StatusActive
Last updated in NPPESApr 28, 2025
Details
- NPI
- 1063200434
- Entity type
- Individual (NPI-1)
- Name
- Bradley J Edward Frericks
- Credential
- CPRS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2025
- Certification date
- Apr 27, 2025
- Last updated
- Apr 28, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | APS.006133 | OH | Yes |
Practice location
8044 Montgomery Rd Ste 120Cincinnati, OH 45236-2919
Phone 513-600-0693 · Fax 888-832-2040
Mailing address
8044 Montgomery Rd Ste 120Cincinnati, OH 45236-2919
Phone 513-600-0693 · Fax 888-832-2040
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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