FRESH PRACTICES
Exam Room 001 · Tampa FLNPI registry · weekly diff
A brand-new practice is the hungriest buyer in healthcare — and it buys everything before the first patient walks in. The vendor whose offer lands in week one owns the account for years.
The registry says go. That practice needs billing, an EHR, malpractice cover, credentialing, supplies, and a bank account before the doors open. Every dollar is uncommitted.
Phones, furniture, software, staffing, marketing — all bought in the same frantic month. The vendor who called in week one is already on the shortlist. Everyone else is cold-calling a decided buyer.
Contracts signed, habits formed. First caller keeps the practice for years. FreshPractices puts your name in front of them while the NPI number is still warm.
The big list houses sell "2.4 million providers!" — a database where half the phones are dead and a third of the practices moved years ago. We pull the federal registry ourselves, diff it weekly, and publish the number we actually deliver. No retired doctors. No closed clinics. No ghosts.
Not a "doctor list." A provider dossier straight off the federal filing — specialty and direct phone included, the two fields the free portals bury.
| № | Field | № | Field |
|---|---|---|---|
| 01 | NPI Number | 09 | Direct Phone |
| 02 | Entity Type (Ind / Org) | 10 | Fax |
| 03 | Provider / Legal Business Name | 11 | Enumeration Date |
| 04 | DBA / Practice Name | 12 | Last Registry Update |
| 05 | Primary Specialty (Taxonomy) | 13 | Sole Proprietor Flag |
| 06 | Credential (MD, DDS, NP, DPM…) | 14 | Authorized Official (Orgs) |
| 07 | Practice Address | 15 | Official Title + Phone |
| 08 | Mailing Address | 16 | State · ZIP |
A brand-new practice is the single best buying signal in healthcare. If your trade touches providers, this census is your market — at the exact moment it's spending.
The NPI registry publishes every newly-enumerated provider within days. We ingest it direct — the same source the big vendors resell, no markup.
Deactivated NPIs, re-listings, duplicates — filtered. Phones validated, specialties normalized. What survives is only genuinely new practices.
A clean Google Sheet + CSV lands before the week starts. Sort by specialty, state, or credential — then feed your dialer, CRM, or sequence. Sell.
Ten founding subscribers lock $199/mo for 12 months. Cap fills, rate goes to $299 list — forever, for everyone else. Statement reads ALCHEMYSMITH.
Real rows from last week's census — specialties, phones, enumeration dates and all — in your inbox within 24 hours. If they don't dial, don't subscribe. No card. No drip sequence. One email with a CSV attached.
Delivered within 24 hrs · direct from last week's file
The NPPES NPI Registry — the federal government's National Plan & Provider Enumeration System, the master file every provider in America must register with before they can bill a dollar. Public record. You're paying for the extraction, the scrub, the validation, and the Monday-morning delivery — not the raw feed.
Same reason you don't drill your own well for a glass of water. The raw registry is free and unusable: a ten-million-row bulk dump, cryptic taxonomy codes, no dedupe, no weekly diff. FreshPractices turns it into a sales-ready weapon. Your reps close; they don't parse federal flat files.
New enumerations surface in the registry within days. We compile the week and deliver first thing Monday morning. When you dial, the ink on their NPI is days old — not years.
Straight answer: the federal file carries phone, not email — and anyone selling you "new doctor emails" appended them from elsewhere. We sell what's verifiable off the registry. The enriched tier adds web-presence signals later; it will never invent an inbox.
A Google Sheet plus CSV, one row per practice, sixteen fields including specialty and direct phone. Drops into any dialer, CRM, or sequencing tool without massaging.
Anytime — two clicks, no retention maze. You keep every file you've received. Founding members who cancel forfeit the locked rate; re-entry is at list.
New practices enumerated while you read this page. Ten founding slots lock $199/mo for a year. After that, the same file costs $299 — and the practices still get called by whoever moved first.