Active NPI
Kenneth Colvin Sherman, M.D.
- Internal Medicine Physician
- Farmers Branch, TX
National Provider Identifier
1184849127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- F5045
- Practice address
- 4040 McEwen Rd
Suite 130
Farmers Branch, TX 75244-5015 - Phone
- (214) 484-5700
- Fax
- (214) 484-5385
- NPI assigned
- Apr 16, 2007
- Last updated
- Dec 11, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | F5045 | TX | Primary |
Addresses
Primary practice location
4040 McEwen Rd
Suite 130
Farmers Branch, TX 75244-5015
Mailing address
4040 McEwen Rd
Suite 130
Farmers Branch, TX 75244-5015
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F5045 | Other | TX | PHYSICIAN |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Housecall Doctors of North Texas PA | Past | Accepting new patients | |
| Housecall Doctors of North Texas PA | Past | Accepting new patients | |
| Physician House Calls of Texas LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Farmers Branch, TX
- NPI 1568860260
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- NPI 1235309956
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- NPI 1508036229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176681600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418256000000",
"number": "1184849127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4040 MCEWEN RD",
"address_2": "SUITE 130",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752445015"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4040 MCEWEN RD",
"address_2": "SUITE 130",
"city": "FARMERS BRANCH",
"state": "TX",
"postal_code": "752445015",
"telephone_number": "214-484-5700",
"fax_number": "214-484-5385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "KENNETH",
"middle_name": "COLVIN",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-16",
"last_updated": "2014-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "F5045",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN",
"identifier": "F5045",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Farmers Branch, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.