Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alex Thomas Fredrickson, MD

Individual provider Family Medicine Physician · NPI 1417691056

Alex Thomas Fredrickson, MD is a Family Practice in White Bear Lake, Minnesota. Graduated from University of Minnesota Medical School in 2022, 4 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
4
Trained at
University of Minnesota Medical School
Licensed in
MN
In the registry since
2022
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

1430 Highway 96 E
White Bear Lake, MN 55110-3653
Phone: (651) 653-2100
Fax: (651) 653-2125
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1414 Maryland Ave E, Saint Paul, MN 55106-2824 — (651) 793-5613

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 77098 (MN)

Record details

NPI number1417691056
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 20, 2022
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2022 (4 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in White Bear Lake