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

Individual provider Diagnostic Radiology Physician · NPI 1710976766

Patrick G Fredenberg, MD is a Diagnostic Radiology in Glendale, Arizona. Graduated from University of Arizona College of Medicine in 1995, 31 years ago. Practices with Banner Imaging Services LLC, a 124-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
31
Trained at
University of Arizona College of Medicine
Licensed in
AZ
In the registry since
2005
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

5605 W Eugie Ave Ste 110
Glendale, AZ 85304-1273
Phone: (623) 847-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2323 W Rose Garden Ln, Phoenix, AZ 85027-2530 — (623) 931-7999

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 26144 (AZ)

Record details

NPI number1710976766
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 20, 2005
Last updated in NPPESMarch 7, 2019
Mailing address2323 W Rose Garden Ln, Phoenix, AZ 85027-2530

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolUNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Graduated 1995 (31 years in practice)
Group practice Banner Imaging Services Llc — 124 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations17 on file with Medicare

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