Individual provider Active NPI

Bret Edward Sherman, M.D., PH.D., F.A.C.S

  • Otolaryngology Physician
  • Fresno, CA
National Provider Identifier
1386604536
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A60899 Issued in CA
Practice address
540 E Herndon Ave Ste 101
Fresno, CA 93720-2993
Phone
(559) 431-0340
Fax
(559) 431-0301
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A60899 CA Primary

Addresses

Primary practice location

540 E Herndon Ave Ste 101
Fresno, CA 93720-2993

Mailing address

540 E Herndon Ave Ste 101
Fresno, CA 93720-2993
Phone (559) 431-0340

Other identifiers 2

IdentifierTypeStateIssuer
040016256OtherCARAILROAD MEDICARE
00A608990MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080715000561 CA Practitioner - Otolaryngology 4587737184 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.7 of 100Reported as group
Quality
77.96
Improvement activities
40
Cost
71.73

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
A60899CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard S. Demera, M.D. Inc. CurrentSince Mar 1, 2015 Accepting new patients
Sequoia Sleep Diagnostics Inc. CurrentSince May 15, 2017 Accepting new patients
Central Calif ENT Medical Group Otolaryngology Past Accepting new patients

Locations

540 E Herndon Ave
Ste 101
Fresno, CA 93720
Phone (559) 431-0340

7045 N Maple Ave
Ste 108
Fresno, CA 93720
Phone (559) 326-7393

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.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1386604536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E HERNDON AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202993",
            "telephone_number": "559-431-0340",
            "fax_number": "559-431-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E HERNDON AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202993",
            "telephone_number": "559-431-0340",
            "fax_number": "559-431-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "BRET",
        "middle_name": "EDWARD",
        "credential": "M.D., PH.D., F.A.C.S",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A60899",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "040016256",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A608990",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.