Eric James Hernandez, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

49265 Issued in CO

Practice address

6525 Gunpark Dr Ste 370-202
Boulder, CO 80301-3346

Phone

(720) 799-7473

Fax

(720) 293-1122

NPI assigned

Jun 13, 2008

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 23, 2023 through Oct 23, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Alpine Woods Medical, PLLC

  • Family Medicine Physician
  • Boulder, CO
  • NPI 1174118145
  NPD Authorized official

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

{
    "created_epoch": "1213315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1124288089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6525 GUNPARK DR STE 370-202",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013346",
            "telephone_number": "720-799-7473",
            "fax_number": "720-293-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6525 GUNPARK DR STE 370-202",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803013346",
            "telephone_number": "720-799-7473",
            "fax_number": "720-293-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "ERIC",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-13",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "49265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12778575",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "49265",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warren Martin Hern, M.D., M.P.H., PH.D.
• Valeria Hernandez Maldonado
• Angelina Hernandez, MA, LPCC
• Donna Kay Hernandez, BA
• Eliu Josue Hernandez, DC
• Erin Nicole Hernandez, MA, LPC
• Pamela Hernandez, RN, MS
• Alexis Nyeki Herreid
• Alex Herrera-Perez
• Carol Ann Herrick, LPC

• Family Medicine Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Family Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.