Organization Active NPI

L Brian Hersch & Associates a Professional LLC

  • Psychiatry Physician
  • Boulder, CO
National Provider Identifier
1093905549
Registry record updated Jan 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
17277 Issued in CO
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

Updated by the provider on Jan 28, 2008

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.NPI 1699867184
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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.