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

Jared Fridley, MD

Individual provider Neurological Surgery Physician · NPI 1669703633

Jared Fridley, MD is a Neurosurgery in Providence, Rhode Island. Graduated from Baylor College of Medicine in 2009, 17 years ago. Practices with The University of Texas at Austin, a 156-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
17
Trained at
Baylor College of Medicine
Licensed in
RI
In the registry since
2010
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Partly verified

Some contact details are missing from the federal record.

Provider Enrollment Dept 117 Ellenfield Street Ste 101
Providence, RI 02905
Phone: (401) 793-9197
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurological Surgery Physician (primary) Taxonomy 207T00000X · Licence MD15268 (RI)

Record details

NPI number1669703633
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJanuary 14, 2010
Last updated in NPPESNovember 25, 2022
Certification dateNovember 18, 2022
Mailing address1709 Dryden Rd, Houston, TX 77030-2400

Medicare enrollment

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

Medicare specialtyNEUROSURGERY
Medical schoolBAYLOR COLLEGE OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice The University Of Texas At Austin — 156 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Providence