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

Dr. Michael Roy Fredericks, MD

Individual provider Nephrology Physician · NPI 1699730341

Dr. Michael Roy Fredericks, MD is an Internal Medicine in Danville, Virginia. Graduated from Saint Louis University School of Medicine in 1977, 49 years ago. Practices with Danville Urologic Clinic Inc, a 16-clinician group and accepts Medicare assignment. Licensed in North Carolina and Virginia.

Years since qualifying
49
Trained at
Saint Louis University School of Medicine
Licensed in
NC, VA
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1040 Main St
Danville, VA 24541-1816
Phone: (434) 792-1433
Fax: (434) 797-2807
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 0101233036 (VA)
Nephrology Physician Taxonomy 207RN0300X · Licence 200300471 (NC)

Record details

NPI number1699730341
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 18, 2006
Last updated in NPPESJune 3, 2015
Mailing address1040 Main St, P.O. Box 1360, Danville, VA 24541-1816

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesNEPHROLOGY
Medical schoolSAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduated 1977 (49 years in practice)
Group practice Danville Urologic Clinic Inc — 16 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Danville