Jeffrey K Hertzberg, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

33543 Issued in MN

Practice address

4915 Garfield Ave
Minneapolis, MN 55419-5403

Phone

(612) 822-0958

NPI assigned

Feb 27, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235692800000",
    "number": "1063652279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4915 GARFIELD AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554195403",
            "telephone_number": "612-822-0958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4915 GARFIELD AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554195403",
            "telephone_number": "612-822-0958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZBERG",
        "first_name": "JEFFREY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-02-27",
        "last_updated": "2009-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "33543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Bartholomew Herson, MD
• Emily Herstine, PHARMD, BCIDP
• Antoinette Derosier Hertel, PHARMD
• Mary Franko Hertenstein, SLP
• Marshall Israel Hertz, M.D.
• Molly Hertzfeld, DPT
• Olivia Herz, RN
• Mark Carl Herzberg, DDS
• Mackenzie Herzig, DO
• Charles A Herzog, MD

• Internal Medicine Physician in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.