Allen J Herbert, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD 010285 Issued in LA

Practice address

411 E Vaughn Ave
Suite 203
Ruston, LA 71270-5972

Phone

(318) 255-7474

Fax

(318) 425-2335

NPI assigned

May 31, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Allen J Herbert a Medical Corp

  • Family Medicine Physician
  • Ruston, LA
  • NPI 1962629212
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257984000000",
    "number": "1003863234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1768",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711661768",
            "telephone_number": "318-677-7450",
            "fax_number": "318-425-5815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 E VAUGHN AVE",
            "address_2": "SUITE 203",
            "city": "RUSTON",
            "state": "LA",
            "postal_code": "712705972",
            "telephone_number": "318-255-7474",
            "fax_number": "318-425-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "ALLEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2009-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD 010285",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1126403",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "720972556",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nathan Hendricks, MA, PLPC
• Cynthia Hendrix, O.T.
• Jennifer Henley, DDS
• Larry Keith Henrickson, PH.D.
• Kayla D. Henry
• Leslie Smith Herbert, MA, CCC-SLP
• Chemia Herron
• Higginbotham Chiropractic
• Gary P Higginbotham, D.C.
• Allan Hild, M.D.

• Family Medicine Physician in Ruston, LA
• Providers in Ruston, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.