Active NPI
Justin B Herman
- Pulmonary Disease Physician
- Wyomissing, PA
National Provider Identifier
1134462351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD457095
- Practice address
- 2608 Keiser Blvd
Wyomissing, PA 19610-3333 - Phone
- (610) 685-5864
- Fax
- (610) 929-1528
- NPI assigned
- Apr 5, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD457095 | PA | |
| Pulmonary Disease Physician | 207RP1001X | MD457095 | PA | Primary |
Addresses
Primary practice location
2608 Keiser Blvd
Wyomissing, PA 19610-3333
Mailing address
2608 Keiser Blvd
Wyomissing, PA 19610-3333
Phone (610) 685-5864
Other practice location 1
193 Old Swede Road
Douglassville, PA 19518-1522
Phone (610) 685-5864
Other practice location 2
1011 W Baltimore Pike
West Grove, PA 19390-9446
Phone (610) 685-5864
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD457095 | PA | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612915200000",
"number": "1134462351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 KEISER BLVD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196103333",
"telephone_number": "610-685-5864",
"fax_number": "215-955-3890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2608 KEISER BLVD",
"city": "WYOMISSING",
"state": "PA",
"postal_code": "196103333",
"telephone_number": "610-685-5864",
"fax_number": "610-929-1528"
}
],
"practiceLocations": [
{
"address_1": "193 Old Swede Road",
"address_purpose": "LOCATION",
"city": "Douglassville",
"state": "PA",
"postal_code": "195181522",
"country_code": "US",
"telephone_number": "610-685-5864",
"fax_number": "610-929-1528",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1011 W Baltimore Pike",
"address_purpose": "LOCATION",
"city": "West Grove",
"state": "PA",
"postal_code": "193909446",
"country_code": "US",
"telephone_number": "610-685-5864",
"fax_number": "610-929-1528",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERMAN",
"first_name": "JUSTIN",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-05",
"last_updated": "2021-02-10",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "PA",
"license": "MD457095",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "PA",
"license": "MD457095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wyomissing, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.