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

Randall C Frederick, MD

Individual provider Gastroenterology Physician · NPI 1487656393

Randall C Frederick, MD is a Gastroenterology Physician in Germantown, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
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

8000 Wolf River Blvd Ste 200
Germantown, TN 38138-1727
Phone: (901) 747-3630
Fax: (901) 747-4039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence MD0000013328 (TN)

Record details

NPI number1487656393
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedAugust 10, 2005
Last updated in NPPESDecember 5, 2012
Mailing address8000 Wolf River Blvd, Suite 200, Germantown, TN 38138-1727

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