Lewis Jackson Herzbrun, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME73067 Issued in FL

Practice address

30 W Wilt Ave
Eustis, FL 32726-2949

Phone

(352) 357-7342

Fax

(352) 357-7395

NPI assigned

Jul 4, 2006

Last updated

Nov 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physical Medicine and Rehabilitation

Education

University of South Florida College of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: lherzbrun563592@direct.shands.ufl.edu

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

• Lewis J Herzbrun MD PA

  • Physical Medicine & Rehabilitation Physician
  • Eustis, FL
  • NPI 1841221256
  Medicare reassignment NPD Authorized official
• Lco Group PA

  dba Florida Musculoskeletal Institute

  • Orthopaedic Surgery Physician
  • Leesburg, FL
  • NPI 1124037783
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1352073600000",
    "number": "1164452157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1507",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327271507",
            "telephone_number": "352-357-7342",
            "fax_number": "352-357-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 W WILT AVE",
            "city": "EUSTIS",
            "state": "FL",
            "postal_code": "327262949",
            "telephone_number": "352-357-7342",
            "fax_number": "352-357-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZBRUN",
        "first_name": "LEWIS",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2012-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME73067",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25221400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heather Rush
• John Heiligenthal, D.C.
• Lori Mills Helman, OD
• Ikeshia K Herbert
• Sarah Elizabeth Hernandez
• Miratiqullah Hessami, MD
• Keith Robertson Hester, PA-C
• Tanya Renee Hileman, RBT
• Dwight W Hines Jr.
• Kimberly Ann Hinman, ARNP

• Physical Medicine & Rehabilitation Physician in Eustis, FL
• Providers in Eustis, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2012; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.