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

Hal M Frederick, MD

Individual provider Diagnostic Radiology Physician · NPI 1720065931

Hal M Frederick, MD is a Diagnostic Radiology in Santa Monica, California. Graduated from Medical College of Georgia School of Medicine in 1984, 42 years ago. Practices with Beverly Radiology Medical Group III, a 330-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Georgia.

Years since qualifying
42
Trained at
Medical College of Georgia School of Medicine
Licensed in
CA, GA
In the registry since
2005
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

2428 Santa Monica Blvd
Santa Monica, CA 90404-2045
Phone: (310) 315-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 11 Upper Riverdale Road, Riverdale, GA 30274 — (770) 991-8000

Specialties & licences

Body Imaging Physician (primary) Taxonomy 2085B0100X · Licence G52182 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 031741 (GA)

Record details

NPI number1720065931
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 29, 2005
Last updated in NPPESAugust 11, 2022
Certification dateAugust 11, 2022

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolMEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Graduated 1984 (42 years in practice)
Group practice Beverly Radiology Medical Group Iii — 330 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations54 on file with Medicare

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