Active NPI
Michael Hebert
- Neurology Physician
- Boston, MA
National Provider Identifier
1316732597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 3018612
- Practice address
- 330 Brookline Ave, Shapiro 807
Boston, MA 02215 - Phone
- (781) 744-5554
- NPI assigned
- Apr 10, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 3018612 | MA | Primary |
Addresses
Primary practice location
330 Brookline Ave, Shapiro 807
Boston, MA 02215
Mailing address
4600 Sheryl LN
Lake Charles, LA 70605-5179
Phone (337) 515-6755
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250708003201 | MA | Order and Referring Only - Neurology | 1456865823 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1316732597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4600 SHERYL LN",
"city": "LAKE CHARLES",
"state": "LA",
"postal_code": "706055179",
"telephone_number": "337-515-6755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 BROOKLINE AVE, SHAPIRO 807",
"city": "BOSTON",
"state": "MA",
"postal_code": "02215",
"telephone_number": "781-744-5554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBERT",
"first_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-04-10",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "MA",
"license": "3018612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.