Individual provider Active NPI

Byron Kendall Herpich, MD

  • Internal Medicine Physician
  • Wyoming, MN
National Provider Identifier
1164629515
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
EMC0004797 Issued in MI
Practice address
5200 Fairview Blvd
Wyoming, MN 55092-8013
Phone
(651) 982-7000
Fax
(651) 982-7110
NPI assigned
Jun 29, 2007
Last updated
Sep 14, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036158477 IL
Internal Medicine Physician 207R00000X U5862 TX
Internal Medicine Physician 207R00000X EMC0004797 MI Primary
Internal Medicine Physician 207R00000X 314889 NY
Internal Medicine Physician 207R00000X ME105030 FL
Internal Medicine Physician 207R00000X 35.145118 OH
Internal Medicine Physician 207R00000X 4790 WI
Internal Medicine Physician 207R00000X MD.204283 LA
Internal Medicine Physician 207R00000X 2022-02433 NC
Internal Medicine Physician 207R00000X 21044 MS
Internal Medicine Physician 207R00000X TRN11509 FL
Internal Medicine Physician 207R00000X 87694 SC
Hospitalist Physician 208M00000X 4790 WI
Hospitalist Physician 208M00000X 036158477 IL

Addresses

Primary practice location

5200 Fairview Blvd
Wyoming, MN 55092-8013

Mailing address

2500 S State St
Jackson, MS 39216-4500
Phone (601) 815-2869

Other practice location 1

400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (618) 498-6402

Other practice location 2

100 Medical Center Dr
Slidell, LA 70461-5520
Phone (985) 646-5750

Other practice location 3

1 Galleria Blvd # 1420
Metairie, LA 70001-2082
Phone (833) 362-5364

Other practice location 4

2500 N State St
Jackson, MS 39216-4500
Phone (601) 815-2869

Other practice location 5

14116 Customs Blvd
Gulfport, MS 39503-5164
Phone (601) 957-6300

Other practice location 6

2500 S State St
Jackson, MS 39216-4500
Phone (601) 815-2869

Other practice location 7

1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 735-7645

Other identifiers 2

IdentifierTypeStateIssuer
8940397MedicaidMS
01276718MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MS, LA, AL, MN, IL, NY, PA, IA, GA, NC, OH, SC, CA, KS, MD, AR, TX, NJ, NM, VA, MI, DC, MA, WI, IN, CO, KY, ID, OK30 enrollments
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 30

Enrollment IDStateProvider typePAC IDDetails
I20100916000360 FL Practitioner - Internal MedicinePractitioner - Hospitalist 6002931839 Reassigns benefits to 7 organizations
I20110128000153 MS Practitioner - Internal Medicine 6002931839 Reassigns benefits to 10 organizations
I20110825000648 LA Practitioner - Internal MedicinePractitioner - Hospitalist 6002931839 Reassigns benefits to 17 organizations
I20211102002503 AL Practitioner - Internal Medicine 6002931839 Reassigns benefits to 1 organization
I20211218000127 MN Practitioner - Internal Medicine 6002931839 Reassigns benefits to 6 organizations
I20220318000529 IL Practitioner - Internal MedicinePractitioner - Hospitalist 6002931839 Reassigns benefits to 5 organizations
I20220425000093 NY Practitioner - Internal Medicine 6002931839 Reassigns benefits to 4 organizations
I20220708003072 PA Practitioner - Internal Medicine 6002931839 Reassigns benefits to 3 organizations
I20220721000783 IA Practitioner - Internal Medicine 6002931839 Reassigns benefits to 2 organizations
I20230103002075 GA Practitioner - Internal Medicine 6002931839 Reassigns benefits to 5 organizations
I20230206002584 NC Practitioner - Internal Medicine 6002931839 Reassigns benefits to 5 organizations
I20230227002143 OH Practitioner - Internal Medicine 6002931839 Reassigns benefits to 6 organizations
I20230410002156 SC Practitioner - Internal Medicine 6002931839 Reassigns benefits to 4 organizations
I20230523003449 CA Practitioner - Internal Medicine 6002931839 Reassigns benefits to 1 organization
I20230626000154 KS Practitioner - HospitalistPractitioner - Internal Medicine 6002931839 Reassigns benefits to 1 organization
I20230728000177 MD Practitioner - Internal Medicine 6002931839 Reassigns benefits to 1 organization
I20230815002706 AR Practitioner - Internal Medicine 6002931839 Reassigns benefits to 4 organizations
I20230907002146 TX Practitioner - Internal Medicine 6002931839 Reassigns benefits to 6 organizations
I20231004000799 NJ Practitioner - Internal Medicine 6002931839 Reassigns benefits to 1 organization
I20231030000948 NM Practitioner - Internal Medicine 6002931839 Reassigns benefits to 2 organizations
I20240613001348 VA Practitioner - Internal Medicine 6002931839 Reassigns benefits to 2 organizations
I20240710002496 MI Practitioner - Internal Medicine 6002931839 Reassigns benefits to 6 organizations
I20240718004897 DC Practitioner - Internal Medicine 6002931839 Reassigns benefits to 2 organizations
I20240812003861 MA Practitioner - Internal Medicine 6002931839 Reassigns benefits to 1 organization
I20250205001423 WI Practitioner - HospitalistPractitioner - Internal Medicine 6002931839 Reassigns benefits to 1 organization
I20250319002950 IN Practitioner - Internal Medicine 6002931839 Reassigns benefits to 2 organizations
I20250729005038 CO Practitioner - Internal Medicine 6002931839 Reassigns benefits to 1 organization
I20250917003171 KY Practitioner - Internal Medicine 6002931839 Reassigns benefits to 1 organization
I20251224000779 ID Practitioner - Internal Medicine 6002931839 Reassigns benefits to 2 organizations
I20260310000490 OK Practitioner - Internal Medicine 6002931839 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clarksville Physician Services PCGroup PAC ID 3476937756, 31 clinicians
Hub City Physician Group LLCGroup PAC ID 3173831211, 26 clinicians
Curana Health Medical Group LLCGroup PAC ID 9133304603, 132 clinicians
DermaccelGroup PAC ID 7618323130, 3 clinicians
CH MSSP Services Ms LLCGroup PAC ID 7911441126, 16 clinicians
Curana Health of South Carolina PCGroup PAC ID 1951672617, 226 clinicians
CH Specialty Services Ga LLCGroup PAC ID 8921464579, 27 clinicians
CH Specialty Services PA PCGroup PAC ID 2567827157, 75 clinicians
Curana Health of Pennsylvania PCGroup PAC ID 6507246345, 98 clinicians
CH Specialty Services SC LLCGroup PAC ID 6608182993, 222 clinicians
Avala Physician Network LLCGroup PAC ID 8527472422, 12 clinicians
Adventist Health System Georgia IncGroup PAC ID 4486568037, 247 clinicians

Practice addresses (Care Compare)

1141 Hospital Dr NW
Corydon, IN 47112-2164
Phone (812) 738-4251

1310 W 7TH St
Kaplan, LA 70548-2910
Phone (337) 643-8300

2122 Cumming Rd
Augusta, GA 30904-4334
Phone (737) 226-6700

22 Millbranch Rd
Suite 200
Hattiesburg, MS 39402-1591
Phone (919) 270-3277

220 Applegrove St NE
North Canton, OH 44720-1610
Phone (919) 270-3277

232 Market St
Flowood, MS 39232-3339
Phone (337) 991-9276

2375 Baker Hospital Blvd
North Charleston, SC 29405-8233
Phone (737) 226-6700

301 Walnut St
Amite, LA 70422-2025
Phone (985) 748-9485

3355 Lenox Rd NE
Suite 750
Atlanta, GA 30326-1353
Phone (337) 991-9276

400 Stuttgart Hwy
England, AR 72046-2440
Phone (919) 270-3277

526 N Saint Cloud St
Suite 1601
Allentown, PA 18104-5041
Phone (337) 991-9276

6650 Rivers Ave
North Charleston, SC 29406-4809
Phone (337) 991-9276

67252 Industry LN
Covington, LA 70433-8704
Phone (985) 801-0259

707 Old Dalton Ellijay Rd
Chatsworth, GA 30705-2029
Phone (706) 879-4776

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
314889NYMDLicensed Vocational Nurse
TRN11509FLMDInternal Medicine Physician
21044MSMDInternal Medicine Physician
2022-02433NCMDInternal Medicine Physician
87694SCMDInternal Medicine Physician
U5862TXMDInternal Medicine Physician
4790WIMDPhysician Assistant

Practice roles (60 of 125)

OrganizationSpecialtyStatusNew patients
CH MSSP Services TN PLLC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Hillsboro Area Hospital, Inc. Current Accepting new patients
Curana Health of Mississippi LLC CurrentSince Jul 7, 2024 Accepting new patients
Curana Health of Florida LLC Internal Medicine CurrentSince Nov 17, 2023 Accepting new patients
Ochsner Clinic LLC Internal Medicine CurrentSince Dec 17, 2019 Accepting new patients
Fairview Health Services Current Accepting new patients
Physicians Eldercare PA CurrentSince Aug 13, 2024 Accepting new patients
Cumberland County Hospital System Inc Hospitalist CurrentSince May 9, 2023 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Nov 16, 2022 Accepting new patients
Fairview Express Care Current Accepting new patients
Curana Health of Minnesota PLLC Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Hospital Service District 2 of the Parish of Tangipahoa State of la. CurrentSince Jul 1, 2019 Accepting new patients
Singing River Health System CurrentSince May 22, 2011 Accepting new patients
Presbyterian Healthcare Services Internal Medicine Current Accepting new patients
Medical Foundation of Central Ms CurrentSince Feb 7, 2015 Accepting new patients
St. Bernard Physician Services, LLC Hospitalist CurrentSince Mar 10, 2020 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Jun 1, 2023 Accepting new patients
State of Mississippi - University of Mississippi Medical Center Current Accepting new patients
Hospitalist Medicine Physicians of California, Inc Internal Medicine CurrentSince Sep 13, 2023 Accepting new patients
Grenada Emergency Group, LLC Hospitalist CurrentSince Dec 24, 2023 Accepting new patients
CH MSSP Services Ms LLC Internal Medicine CurrentSince Dec 7, 2024 Accepting new patients
Hillsboro Area Hospital, Inc. Current Accepting new patients
Sound Physicians of Massachusetts Inc Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Nov 1, 2023 Accepting new patients
Grand Itasca Clinic and Hospital CurrentSince Mar 1, 2023 Accepting new patients
State of Mississippi - University of Mississippi Medical Center CurrentSince Dec 7, 2016 Accepting new patients
Fairview Express Care CurrentSince Oct 11, 2021 Accepting new patients
Belle Chasse Physician Services LLC Hospitalist CurrentSince Dec 21, 2019 Accepting new patients
Sound Physicians of Massachusetts, Inc Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Curana Health Medical Group LLC Internal Medicine CurrentSince Jan 3, 2024 Accepting new patients
Mississippi Baptist Medical Center, Inc. CurrentSince Mar 1, 2016 Accepting new patients
CH Specialty Services SC LLC CurrentSince Jun 13, 2023 Accepting new patients
Hospital Service District 2 of the Parish of Tangipahoa State of la. CurrentSince Jul 1, 2019 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Hospitalist CurrentSince Aug 4, 2023 Accepting new patients
Thedacare, Incorporated CurrentSince Jan 6, 2025 Accepting new patients
Curana Health of South Carolina PC Internal Medicine CurrentSince Feb 27, 2023 Accepting new patients
Walter Knox Memorial Hospital CurrentSince Sep 6, 2025 Accepting new patients
Crawford Physician Services, PLLC Hospitalist CurrentSince Mar 5, 2025 Accepting new patients
Otsego Physician Services PC Internal Medicine CurrentSince Jul 1, 2025 Accepting new patients
Hospitalist Medicine Physicians of Maryland PC Internal Medicine CurrentSince Jun 14, 2023 Accepting new patients
Thedacare, Incorporated CurrentSince Jan 6, 2025 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Hospitalist CurrentSince Aug 4, 2023 Accepting new patients
Northeast Louisiana Physicians, LLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Central Louisiana Physicians, LLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
Mississippi Baptist Medical Center, Inc. Current Accepting new patients
Gloversville Physician Medicine Services PC Hospitalist CurrentSince Mar 15, 2022 Accepting new patients
St Martin Physician Services LLC Hospitalist CurrentSince Dec 1, 2021 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Curana Health of Louisiana LLC CurrentSince Apr 10, 2019 Accepting new patients
Preferred Physician Services of Ohio LLC Internal Medicine CurrentSince Dec 11, 2024 Accepting new patients
Cogent Healthcare of North Carolina, PC Internal Medicine CurrentSince Oct 26, 2022 Accepting new patients
Ochsner Clinic LLC CurrentSince Dec 17, 2019 Accepting new patients
Bladen Healthcare LLC Current Accepting new patients
Curana Health of New Mexico LLC Internal Medicine CurrentSince Nov 16, 2023 Accepting new patients
Jefferson Physician Services, PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
South Texas Physician Services, PLLC Internal Medicine CurrentSince Feb 1, 2024 Accepting new patients
CH MSSP Services Mi PLLC Internal Medicine CurrentSince Dec 28, 2025 Accepting new patients
Cogent Healthcare of Georgia PC Internal Medicine CurrentSince May 21, 2023 Accepting new patients
Singing River Hospital System CurrentSince May 22, 2011 Accepting new patients
Cogent Healthcare of New Jersey, PC Internal Medicine CurrentSince Aug 20, 2023 Accepting new patients

Locations (25 of 173)

4370 W Main St
Dothan, AL 36305
Phone (256) 332-1611

400 N Edwards St
Enterprise, AL 36330
Phone (334) 347-0584

200 N 3rd St
Dardanelle, AR 72834
Phone (479) 229-2827

211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

2615 Chester Ave
Bakersfield, CA 93301
Phone (661) 381-7545

22590 Voss Ave
Cupertino, CA 95014
Phone (408) 253-9034

944 Regal Rd
Encinitas, CA 92024
Phone (760) 944-0331

1255 Travis Blvd
Fairfield, CA 94533
Phone (707) 425-0623

1600 W Avenue J
Lancaster, CA 93534
Phone (661) 726-6254

517 S A St
Madera, CA 93638
Phone (559) 673-9228

159 E Orangeburg Ave
Modesto, CA 95350
Phone (209) 526-2811

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

1455 Auto Center Dr
Ste 150
Ontario, CA 91761
Phone (909) 605-7000

501 Jessie Ave
Sacramento, CA 95838
Phone (916) 922-8855

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

600 E Washington Ave
Santa Ana, CA 92701
Phone (714) 973-1656

347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000

1000 Greenley Rd
Sonora, CA 95370
Phone (209) 263-0803

215 W Janss Rd
Thousand Oaks, CA 91360
Phone (805) 379-5435

1495 Canyon Blvd
Ste 1019
Boulder, CO 80302

2332 Galiano St
#2
Coral Gables, FL 33134
Phone (305) 998-0546

611 Turner Camp Rd
Inverness, FL 34453
Phone (352) 637-1130

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: bherpich108291@capefearvalley.direct-ci.com
  • Direct secure messaging: bherpich5896@direct.shands.ufl.edu
  • Direct secure messaging: bherpich709465@fairview.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/19831/brand/2/csg/1/fhir/r4
  • FHIR API: https://fhir-myrecord.cerner.com/r4/eb237299-e2be-4fd4-aca6-5fa7adcd28c1/
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/IBHCBA

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Metairie Health Care CenterMetairie, LA, CCN 195278 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Mar 8, 2021
Mar 8, 2021
Silvis Center for Nursing Rehab & CareSilvis, IL, CCN 145703 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Dec 1, 2024
Dec 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 139

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.

View all 139

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1164629515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-815-2869",
            "fax_number": "601-815-9356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 FAIRVIEW BLVD",
            "city": "WYOMING",
            "state": "MN",
            "postal_code": "550928013",
            "telephone_number": "651-982-7000",
            "fax_number": "651-982-7110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Maple Summit Rd",
            "address_purpose": "LOCATION",
            "city": "Jerseyville",
            "state": "IL",
            "postal_code": "620522028",
            "country_code": "US",
            "telephone_number": "618-498-6402",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Slidell",
            "state": "LA",
            "postal_code": "704615520",
            "country_code": "US",
            "telephone_number": "985-646-5750",
            "fax_number": "985-646-5098",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Galleria Blvd # 1420",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700012082",
            "country_code": "US",
            "telephone_number": "833-362-5364",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 N State St",
            "address_purpose": "LOCATION",
            "city": "Jackson",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-815-2869",
            "fax_number": "601-815-9356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14116 Customs Blvd",
            "address_purpose": "LOCATION",
            "city": "Gulfport",
            "state": "MS",
            "postal_code": "395035164",
            "country_code": "US",
            "telephone_number": "601-957-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 S STATE ST",
            "address_purpose": "LOCATION",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "country_code": "US",
            "telephone_number": "601-815-2869",
            "fax_number": "601-815-9356",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1818 N Meade St",
            "address_purpose": "LOCATION",
            "city": "Appleton",
            "state": "WI",
            "postal_code": "549113454",
            "country_code": "US",
            "telephone_number": "920-735-7645",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERPICH",
        "first_name": "BYRON",
        "middle_name": "KENDALL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036158477",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "U5862",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "EMC0004797",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "314889",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME105030",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.145118",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "4790",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.204283",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2022-02433",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "21044",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "TRN11509",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "87694",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "4790",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036158477",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8940397",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01276718",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wyoming, MN

Sources for this page

Verify at the official NPI Registry.