Active NPI
David a Herf, MD
- Surgery Physician
- Crestview, FL
National Provider Identifier
1447795976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME0043630
- 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, 2016
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068340000 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Surgery Physician
- Crestview, FL
- NPI 1699711911
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.