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

Dr. Philip J. Fraccola, MD

Individual provider Diagnostic Radiology Physician · NPI 1699767707

Dr. Philip J. Fraccola, MD is a Diagnostic Radiology in Liverpool, New York. Qualified in 1986, 40 years ago. Practices with Mori Bean and Brooks Inc, a 976-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Florida, New York and Washington.

Years since qualifying
40
Licensed in
FL, NY, WA
In the registry since
2005
Specialties on file
3
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

5100 W Taft Rd Ste 2A
Liverpool, NY 13088-3807
Phone: (315) 452-2555
Fax: (315) 452-2559
Show map & directions

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

Additional practice locations (2)

  • 1100 Nw 95th St, Miami, FL 33150-2038 — (305) 835-6000
  • 1304 Fawcett Ave Ste 100, Tacoma, WA 98402-1900 — (253) 761-4200

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 173758 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD61497216 (WA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence ME147948 (FL)

Record details

NPI number1699767707
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 16, 2005
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1986 (40 years in practice)
Group practice Mori Bean And Brooks Inc — 976 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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