Active NPI
L Brian Hersch & Associates a Professional LLC
- Psychiatry Physician
- Boulder, CO
National Provider Identifier
1093905549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 17277
- Legal business name
- L BRIAN HERSCH & ASSOCIATES A PROFESSIONAL LLC
- Practice address
- 4789 Briar Ridge TRL
Boulder, CO 80301-3902 - Phone
- (303) 637-1739
- Fax
- (303) 530-7856
- NPI assigned
- Jul 31, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence Brian Hersch, M.D.
- Title
- Psychiatrist
- Phone
- (303) 637-1739
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 17277 | CO | Primary |
Addresses
Primary practice location
4789 Briar Ridge TRL
Boulder, CO 80301-3902
Mailing address
4789 Briar Ridge TRL
Boulder, CO 80301-3902
Phone (303) 637-1739
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Boulder, CO
- NPI 1699867184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201478400000",
"number": "1093905549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4789 BRIAR RIDGE TRL",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013902",
"telephone_number": "303-637-1739",
"fax_number": "303-530-7856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4789 BRIAR RIDGE TRL",
"city": "BOULDER",
"state": "CO",
"postal_code": "803013902",
"telephone_number": "303-637-1739",
"fax_number": "303-530-7856"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "L BRIAN HERSCH & ASSOCIATES A PROFESSIONAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-07-31",
"last_updated": "2008-01-28",
"status": "A",
"authorized_official_last_name": "HERSCH",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "BRIAN",
"authorized_official_title_or_position": "PSYCHIATRIST",
"authorized_official_telephone_number": "303-637-1739",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "17277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.