Michael Herbert Jr., ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126003379 Issued in VA

Practice address

1101 Russell St
Baltimore, MD 21230-2602

Phone

(410) 324-6141

NPI assigned

May 12, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1683849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683849600000",
    "number": "1184314130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10174 CANNON BALL CT",
            "city": "MANASSAS",
            "state": "VA",
            "postal_code": "201093512",
            "telephone_number": "571-358-4014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 RUSSELL ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212302602",
            "telephone_number": "410-324-6141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-12",
        "last_updated": "2023-05-12",
        "certification_date": "2023-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126003379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Herb
• Herbert L Kronthal MD PA
• Carson H Herbert, LCSW-C
• Charles Herbert, D.D.S
• Jared Michael Herbert, MD
• Samantha Herbert
• Atara B Herbstman, MS, OTR/L
• Courtney Hercenberg, LCSW-C
• Donald Herdt, M.D.
• Yazmin Alejandra Heredia Allegretti, MD

• Athletic Trainer in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Athletic Trainer in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.