Organization Active NPI

David a Herf, MD

  • Surgery Physician
  • Crestview, FL
National Provider Identifier
1447795976
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0043630 Issued in FL
Legal business name
DAVID A HERF, MD
Practice address
435 Brookmeade Dr
Crestview, FL 32539-7304
Phone
(850) 682-0409
Fax
(850) 689-1696
NPI assigned
Dec 19, 2016
Last updated
Dec 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Authorized official

Name
Pamela Johnson
Title
Office Supervisor
Phone
(850) 682-0409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208600000X ME0043630 FL Primary

Addresses

Primary practice location

435 Brookmeade Dr
Crestview, FL 32539-7304

Mailing address

435 Brookmeade Dr
Crestview, FL 32539-7304
Phone (850) 682-0409

Other identifiers 1

IdentifierTypeStateIssuer
068340000MedicaidFL

National Provider Directory

National Provider Directory

Locations

435 Brookmeade Dr
Crestview, FL 32539
Phone (850) 305-2105

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1482105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482105600000",
    "number": "1447795976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 BROOKMEADE DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325397304",
            "telephone_number": "850-682-0409",
            "fax_number": "850-689-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 BROOKMEADE DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325397304",
            "telephone_number": "850-682-0409",
            "fax_number": "850-689-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A HERF, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-19",
        "last_updated": "2016-12-19",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "OFFICE SUPERVISOR",
        "authorized_official_telephone_number": "850-682-0409"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0043630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068340000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.