Individual provider Active NPI

Rodolfo Alberto Herrera, M.D.

  • Family Medicine Physician
  • Bedford, TX
National Provider Identifier
1154524668
Registry record updated Jul 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M3258 Issued in TX
Practice address
1305 Airport Fwy Ste 302
Bedford, TX 76021-6604
Phone
(817) 283-6995
Fax
(817) 952-7011
NPI assigned
Jun 11, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X M3258 TX
Sports Medicine (Family Medicine) Physician 207QS0010X M3258 TX
Family Medicine Physician 207Q00000X M3258 TX Primary

Addresses

Primary practice location

1305 Airport Fwy Ste 302
Bedford, TX 76021-6604

Mailing address

571 W Main St Ste 120
Lewisville, TX 75057-3667
Phone (972) 436-7531

Other practice location 1

571 W Main St Ste 120
Lewisville, TX 75057-3667
Phone (972) 436-7531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080620000255 TX Practitioner - Family PracticePractitioner - Interventional Pain Management 8426129339 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Interventional Pain Management
Education
University of Texas Medical School at San Antonio, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Herrera Medical Group of Bedford and AssociatesGroup PAC ID 8820187172, 5 clinicians

Practice addresses (Care Compare)

1305 Airport Fwy
Suite 302
Bedford, TX 76021-6604
Phone (817) 786-8238

1305 Airport Fwy 302
Bedford, TX 76021-6604

4101 Kirkpatrick LN
Flower Mound, TX 75028-1415
Phone (972) 436-7531

571 W Main St
Suite 120
Lewisville, TX 75057-3667
Phone (972) 436-7531

9239 Vista Way
Benbrook, TX 76126-2451
Phone (682) 224-6474

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Herrera Medical Group of Lewisville & Associates Family Medicine CurrentSince Dec 31, 2019 Accepting new patients
Herrera Medical Group of Bedford & Associates Family Medicine CurrentSince Jan 4, 2018 Accepting new patients
Forest Clinica Familiar, LLC Family Medicine CurrentSince Oct 1, 2014 Accepting new patients
Frederick Health Hospital Inc Interventional Pain Medicine Past Accepting new patients

Locations

1305 Airport Fwy
Ste 302A
Bedford, TX 76021

1305 Airport Fwy
Ste 302B
Bedford, TX 76021
Phone (817) 786-8238

1305 Airport Fwy
Ste 302
Bedford, TX 76021
Phone (817) 283-6995

9550 Forest Ln
Ste 606
Dallas, TX 75243
Phone (469) 804-7929

4101 Kirkpatrick Ln
Flower Mound, TX 75028
Phone (214) 513-2300

9239 Vista Way
Fort Worth, TX 76126
Phone (682) 224-6474

571 W Main St
Ste 120
Lewisville, TX 75057
Phone (972) 221-3500

1175 Diane Cir
Lewisville, TX 75067
Phone (972) 436-7424

Interoperability endpoints

  • Direct secure messaging: rodolfo.herrera@lewfm.eclinicaldirectplus.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595289600000",
    "number": "1154524668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "571 W MAIN ST STE 120",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750573667",
            "telephone_number": "972-436-7531",
            "fax_number": "972-436-6114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 AIRPORT FWY STE 302",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760216604",
            "telephone_number": "817-283-6995",
            "fax_number": "817-952-7011"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "571 W Main St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750573667",
            "country_code": "US",
            "telephone_number": "972-436-7531",
            "fax_number": "972-436-6114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "RODOLFO",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-11",
        "last_updated": "2020-07-21",
        "certification_date": "2020-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "TX",
            "license": "M3258",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "TX",
            "license": "M3258",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M3258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, TX

Sources for this page

Verify at the official NPI Registry.