Brian James Herman, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

3031-035 Issued in WI

Practice address

1402 Main St
Bloomer, WI 54724-1637

Phone

(715) 568-1373

NPI assigned

Jul 2, 2006

Last updated

Aug 10, 2011By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in WI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Illinois College of Optometry at Chicago, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Herman Advanced Family Eyecare LLCGroup PAC ID 0749214195, 2 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Herman Advanced Family Eyecare LLC

  • Optometrist
  • Bloomer, WI
  • NPI 1306047618
  Medicare reassignment Care Compare group NPD
• Herman Advanced Family Eyecare

  • Optometrist
  • Chetek, WI
  • NPI 1497953632
  NPD

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1386673101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 MAIN ST",
            "city": "BLOOMER",
            "state": "WI",
            "postal_code": "547241637",
            "telephone_number": "715-568-1373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 MAIN ST",
            "city": "BLOOMER",
            "state": "WI",
            "postal_code": "547241637",
            "telephone_number": "715-568-1373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "BRIAN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-02",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3031-035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "38627500",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Hansen
• Lindsay Erin Harmon, OTR/L
• Brent T Hassemer
• Teresa Heifner
• Herman Advanced Family Eyecare LLC
• Karen Lee Herman, O.D.
• Hetzel Care Center Inc (Rose Garden RCAC)
• Hetzel Care Center Inc (Rose Garden CBRF)
• Hetzel Care Center, Inc
• Hetzel Care Nursing & Rehabilitation Center LLC

• Optometrist in Bloomer, WI
• Providers in Bloomer, WI by specialty
• Optometrist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.