Healthcare Provider Details

I. General information

NPI: 1316858806
Provider Name (Legal Business Name): MR. DAVID BARTHOLOMEW FREEMAN JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1143 MISSOURI ST
FAIRFIELD CA
94533-6007
US

IV. Provider business mailing address

511 LASSEN AVE
SUISUN CITY CA
94585-2329
US

V. Phone/Fax

Practice location:
  • Phone: 707-435-9911
  • Fax:
Mailing address:
  • Phone: 510-331-5245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License NumberE1508504
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: