Active NPI
Larry C Herrera, MD
- Pediatrics Physician
- Bastrop, TX
National Provider Identifier
1306800941
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- J2075
- Practice address
- 1602 Hill St
Bastrop, TX 78602-2525 - Phone
- (512) 772-4887
- Fax
- (877) 583-4093
- NPI assigned
- Apr 12, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD427767 | PA | |
| Pediatrics Physician | 208000000X | MA08356500 | NJ | |
| General Practice Physician | 208D00000X | MA08356500 | NJ | |
| Hospitalist Physician | 208M00000X | MA08356500 | NJ | |
| Pediatrics Physician | 208000000X | J2075 | TX | Primary |
Addresses
Primary practice location
1602 Hill St
Bastrop, TX 78602-2525
Mailing address
PO Box 1890
Gonzales, TX 78629-1390
Phone (830) 672-6511
Other practice location 1
2106 Hilton Head
Round Rock, TX 78664-6110
Phone (512) 608-3835
Other names 1
- Larry Herrera
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA08356500 | NJ | MD | Pediatrics Physician |
| MD427767 | PA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCHC Pediatric Associates, LLC | Pediatrics | Past | Accepting new patients |
| Community Health Centers of South Central Texas Inc. | Past | Accepting new patients | |
| Community Health Centers of South Central Texas Inc. | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Elgin, TX
- NPI 1568868370
-
- Federally Qualified Health Center (FQHC)
- Bastrop, TX
- NPI 1629471875
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1255363578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1306800941",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1890",
"city": "GONZALES",
"state": "TX",
"postal_code": "786291390",
"telephone_number": "830-672-6511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 HILL ST",
"city": "BASTROP",
"state": "TX",
"postal_code": "786022525",
"telephone_number": "512-772-4887",
"fax_number": "877-583-4093"
}
],
"practiceLocations": [
{
"address_1": "2106 Hilton Head",
"address_purpose": "LOCATION",
"city": "Round Rock",
"state": "TX",
"postal_code": "786646110",
"country_code": "US",
"telephone_number": "512-608-3835",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERRERA",
"first_name": "LARRY",
"middle_name": "C",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-12",
"last_updated": "2025-05-05",
"certification_date": "2025-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD427767",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "MA08356500",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NJ",
"license": "MA08356500",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NJ",
"license": "MA08356500",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "J2075",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LARRY",
"last_name": "HERRERA",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bastrop, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.