Individual provider Active NPI

Glen A. Herman, MD

  • Anesthesiology Physician
  • Boynton Beach, FL
National Provider Identifier
1114906674
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
ME56248 Issued in FL
Practice address
600 NE 20TH LN
Boynton Beach, FL 33435-2401
Phone
(561) 542-1553
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X ME56248 FL Primary

Addresses

Primary practice location

600 NE 20TH LN
Boynton Beach, FL 33435-2401

Mailing address

600 NE 20TH LN
Boynton Beach, FL 33435-2401
Phone (561) 542-1553

Other identifiers 3

IdentifierTypeStateIssuer
298805OtherFLAVMED
12808OtherFLBCBS OF FLORIDA
055137600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050505000963 FL Practitioner - Anesthesiology 0840230157 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Albany Medical College of Union University, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Treasure Coast Anesthesia Group PAGroup PAC ID 2567600588, 98 clinicians

Practice addresses (Care Compare)

200 SE Hospital Ave
Stuart, FL 34994-2346
Phone (772) 287-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME56248FLMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Professional Services, Inc. Anesthesiology CurrentSince Jan 15, 2025 Accepting new patients
Anesco North Broward LLC Anesthesiology CurrentSince Nov 15, 2008 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology Current Accepting new patients
East Coast Anesthesia LLC Anesthesiology CurrentSince Feb 1, 2025 Accepting new patients
US Anesthesia Partners of Florida Inc. Anesthesiology CurrentSince Feb 10, 2025 Accepting new patients
Treasure Coast Anesthesia Group PA Anesthesiology CurrentSince Apr 15, 2025 Accepting new patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Dec 1, 2024 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Dec 1, 2024 Accepting new patients
Anesthesia Associates P.a. Anesthesiology Past Accepting new patients

Locations

2234 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 306-5469

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

1717 W Woolbright Rd
Boynton Beach, FL 33426
Phone (561) 271-0465

401 SW 42nd Ave
Ste 201
Coral Gables, FL 33134
Phone (305) 447-0882

3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

3601 W Commercial Blvd
Ste 4
Ft Lauderdale, FL 33309

3601 W Commercial Blvd
Ste 5
Ft Lauderdale, FL 33309
Phone (954) 485-2002

1516 E Las Olas Blvd
Ft Lauderdale, FL 33301
Phone (954) 356-5142

460 Saint Charles Ct
Lake Mary, FL 32746
Phone (407) 585-0260

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

4000 Burns Rd
Palm Beach Gardens, FL 33410
Phone (561) 626-6446

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

1310 SE West Star Ave
Port St Lucie, FL 34952
Phone (772) 335-7171

200 SE Hospital Ave
Stuart, FL 34994
Phone (772) 223-5618

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

Organizations & group practices 9

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1114906674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NE 20TH LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334352401",
            "telephone_number": "561-542-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NE 20TH LN",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334352401",
            "telephone_number": "561-542-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "GLEN",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "FL",
            "license": "ME56248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "298805",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "12808",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055137600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boynton Beach, FL

Sources for this page

Verify at the official NPI Registry.