DR. BRUCE BRIAN FRY (D.O.) – Physical Medicine & Rehabilitation Physician, NPI 1124097167

DR. BRUCE BRIAN FRY (D.O.) is a healthcare provider. based in Knoxville, Tennessee. specializing in PHYSICAL MEDICINE AND REHABILITATION. They hold the professional credentials D.O.. They hold a License No. 1406 (TN). The NPI Number for DR. BRUCE BRIAN FRY (D.O.) is 1124097167

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. BRUCE BRIAN FRY (D.O.)
NPI
1124097167
Phone
(865) 558-4400
Address
260 FORT SANDERS WEST BLVD
Enumeration Date
14 March 2006
Last Update Date
14 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8655121140
Graduation Year
1997 (29 years ago)
PAC ID
6800853904
Group Practice PAC ID
3476453572
Professional Enrollment ID
I20080212000538
Address ID
TN378494039PO7750XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness85
Years active:20State licenses:1Digital endpointsOther names

206 PHYSICAL MEDICINE AND REHABILITATION in TN

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Provider Addresses for DR. BRUCE BRIAN FRY (D.O.)

  • 260, Fort Sanders West Boulevard, Knoxville, Knox County, Tennessee, 37922, United States

    KNOXVILLE, TN 379223355

    Phone: (865) 558-4400

    Fax: (865) 769-4536

    Type: Location

  • 8320 E WALKER SPRINGS LN STE 200

    KNOXVILLE, TN 379233120

    Phone: (865) 769-4500

    Fax: (865) 769-4501

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $1,428.

Total Amount is formed as General ($1,428) + Research ($0) + Ownership ($0) = $1,428.

Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Relievant Medsystems, Inc. ($844).

Total Amount

$1,428

General + Research + Ownership

Payments

30

Total payment records

General Amount

$1,428

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-21

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2008-02-12

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
I20080212000538IPhysical Medicine And RehabilitationTNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg9,805184$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg813148$0
99214Established patient office or other outpatient visit, 30-39 minutes344257$0
99213Established patient office or other outpatient visit, 20-29 minutes291248$0
99204New patient office or other outpatient visit, 45-59 minutes236236$0
View full utilization report →

Insurance plans in this area (ZIP 37922)

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Provider's Procedures

DR. BRUCE BRIAN FRY (D.O.) performs procedures in PHYSICAL MEDICINE AND REHABILITATION. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL MEDICINE AND REHABILITATIOTN62311Injections of substances into lower or sacral spine149101

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: 3476453572View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. BRUCE BRIAN FRY (D.O.)?
The federal identifier for DR. BRUCE BRIAN FRY (D.O.) is NPI 1124097167.
Is DR. BRUCE BRIAN FRY (D.O.) active in the national directory?
DR. BRUCE BRIAN FRY (D.O.)'s public NPI profile is in an active state.
Does DR. BRUCE BRIAN FRY (D.O.) list a primary specialty?
If you are matching referrals, note Physical Medicine & Rehabilitation Physician for DR. BRUCE BRIAN FRY (D.O.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. BRUCE BRIAN FRY (D.O.)?
The snapshot lists Knoxville, Tennessee for DR. BRUCE BRIAN FRY (D.O.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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