BRYAN KONRAD FRITZLER (PH.D.) – Clinical Psychologist, NPI 1619993219

BRYAN KONRAD FRITZLER (PH.D.) is a healthcare provider. based in Brewer, Maine. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D.. They hold a License No. PS931 (ME). The NPI Number for BRYAN KONRAD FRITZLER (PH.D.) is 1619993219

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
BRYAN KONRAD FRITZLER (PH.D.)
NPI
1619993219
Phone
(207) 973-4037
Address
43 WHITING HILL RD STE 300
Enumeration Date
15 July 2006
Last Update Date
1 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2079737000
Graduation Year
1996 (30 years ago)
PAC ID
2668376476
Group Practice PAC ID
2062315161
Professional Enrollment ID
I20031124000215
Address ID
ME044016616BA489XXSTXX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

173 CLINICAL PSYCHOLOGIST in ME

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Provider Addresses for BRYAN KONRAD FRITZLER (PH.D.)

  • 43 WHITING HILL RD STE 300

    BREWER, ME 044121006

    Phone: (207) 973-4037

    Fax: (207) 973-8276

    Type: Mailing

  • 905, Union Street, Bangor, Penobscot County, Maine, 04401, United States

    SUITE 9

    BANGOR, ME 044013050

    Phone: (207) 973-4037

    Fax: (207) 973-8276

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2003-11-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031124000215IClinical PsychologistMETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04412)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062315161View full group profile
NameSpecialtyState
Physician AssistantME
Nurse PractitionerME
Certified Registered Nurse Anesthetist (Crna)ME
Cardiovascular Disease (Cardiology)ME
Endocrinology, Internal MedicineME
-ME
Nurse PractitionerME
Thoracic SurgeryME
H O S P I T A L I S TME
-NJ

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Frequently asked questions

What is BRYAN KONRAD FRITZLER (PH.D.)'s NPI number?
BRYAN KONRAD FRITZLER (PH.D.)'s NPI is 1619993219 — the number used across U.S. healthcare to identify this provider.
Is BRYAN KONRAD FRITZLER (PH.D.) shown as active in public data?
Registry records indicate BRYAN KONRAD FRITZLER (PH.D.) maintains an active NPI.
What expertise is attributed to BRYAN KONRAD FRITZLER (PH.D.)?
BRYAN KONRAD FRITZLER (PH.D.)'s specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with BRYAN KONRAD FRITZLER (PH.D.)?
Directory geography for BRYAN KONRAD FRITZLER (PH.D.) centers on Brewer, Maine.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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