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

Individual provider Certified Registered Nurse Anesthetist · NPI 1679929624

Jordan Fried is a Certified Registered Nurse Anesthetist (CRNA) in Fort Sam Houston, Texas. Qualified in 2016, 10 years ago. Works from 3 locations and accepts Medicare assignment. Licensed in Alaska.

Years since qualifying
10
Licensed in
AK
In the registry since
2016
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Practice location Address checks out

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone: (210) 916-7595
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5955 Zeamer Ave, Anchorage, AK 99506-3702 — (907) 580-9068
  • 5955 Zeamer Ave, Jber, AK 99506-3702 — (907) 580-1820

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 169123 (AK)

Record details

NPI number1679929624
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 9, 2016
Last updated in NPPESAugust 8, 2025
Certification dateAugust 8, 2025
Mailing address5955 Zeamer Ave, Jber, AK 99506-3702

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fort Sam Houston