Active NPI
Victor Thomas Sherrel, M.D,
- Psychiatry Physician
- Pensacola, FL
National Provider Identifier
1134488455
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME132383
- Practice address
- 5190 Bayou Blvd Ste 6
Pensacola, FL 32503-2162 - Phone
- (850) 476-0977
- NPI assigned
- May 7, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | ME132383 | FL | Primary |
Addresses
Primary practice location
5190 Bayou Blvd Ste 6
Pensacola, FL 32503-2162
Mailing address
5190 Bayou Blvd Ste 6
Pensacola, FL 32503-2162
Phone (850) 476-0977
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 |
|---|---|---|---|
| ME132383 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553472000000",
"number": "1134488455",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5190 BAYOU BLVD STE 6",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032162",
"telephone_number": "850-476-0977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5190 BAYOU BLVD STE 6",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325032162",
"telephone_number": "850-476-0977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERREL",
"first_name": "VICTOR",
"middle_name": "THOMAS",
"credential": "M.D,",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-05-07",
"last_updated": "2019-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME132383",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.