Herbert Carey Pratt, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A-22917 Issued in CA

Practice address

4210 Thomas Lake Harris Dr Apt 217
Santa Rosa, CA 95403-5793

Phone

(619) 756-1764

NPI assigned

Jan 6, 2020

Sex

Male

Sole proprietor

Yes

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

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1346889581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4210 THOMAS LAKE HARRIS DR APT 217",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954035793",
            "telephone_number": "619-756-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4210 THOMAS LAKE HARRIS DR APT 217",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954035793",
            "telephone_number": "619-756-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "HERBERT",
        "middle_name": "CAREY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-01-06",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A-22917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Marjorie Powner, AU.D.
• Steven Powner
• Mary Poxon, D.D.S.
• Nica R Poznanovich
• Amber Pratt
• Preferred Medical Transport
• Ann Katz Press, M.D.
• Christopher Daniel Press, M.D.
• Kathryn Joanne Presson
• Prevent Physical Therapy, Inc

• Family Medicine Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.