Fred Fombrun, PA-C
NPI 1730590829 · Medical Physician Assistant · Henderson, NV
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fred Fombrun, PA-C is a Medical Physician Assistant provider in Henderson, NV (NPI 1730590829).
Provider details
- NPI number
- 1730590829
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Male
- Sole proprietor
- No
- License
- PA1527 (NV)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-05-12
- Last updated
- 2014-05-12
Frequently asked questions
- What is Fred Fombrun's NPI number?
- Fred Fombrun's National Provider Identifier (NPI) is 1730590829, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Fred Fombrun's specialty?
- Fred Fombrun is listed in the NPPES registry with a primary specialty of Medical Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Fred Fombrun located?
- Fred Fombrun's practice location on file with NPPES is 2380 W Horizon Ridge Pkwy Ste 110, Henderson, NV 89052-5078.
- What is Fred Fombrun's phone number?
- The practice phone number listed in the NPPES registry for Fred Fombrun is (972) 656-0493.
- Does Fred Fombrun accept Medicare?
- Fred Fombrun is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Fred Fombrun's NPI active?
- Yes — Fred Fombrun's NPI (1730590829) is active in the NPPES registry as of the last update on 2014-05-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.