NPIMap

Individual provider Active NPI

Chase Alexander Herrera, DO

  • Family Medicine Physician
  • Vivian, LA
National Provider Identifier
1487282125
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
331859 Issued in LA
Practice address
815 S Pine St
Vivian, LA 71082-3353
Phone
(318) 375-3239
Fax
(318) 375-2755
NPI assigned
Mar 30, 2020
Last updated
Sep 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 331859 LA
Family Medicine Physician 207Q00000X 331859 LA Primary

Addresses

Primary practice location

815 S Pine St
Vivian, LA 71082-3353

Mailing address

815 S Pine St
Vivian, LA 71082-3314
Phone (183) 375-3235

Other practice location 1

5948 N Market St
Shreveport, LA 71107-2017
Phone (318) 375-0001

Other practice location 2

815 S Pine St
Vivian, LA 71082-3353
Phone (318) 375-3235

Other practice location 3

188 Burt Blvd
Benton, LA 71006-4900
Phone (318) 965-5017

Other practice location 4

112 N Forrest Rd
Plain Dealing, LA 71064-4031
Phone (318) 326-7272

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230126000248 LA Practitioner - Family PracticePractitioner - Emergency Medicine 0547644528 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Caddo Hospital Service DistrictGroup PAC ID 4385544584, shared by 3 NPIs, 11 clinicians

Practice addresses (Care Compare)

815 S Pine St
Vivian, LA 71082-3353
Phone (318) 375-3235

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
North Caddo Hospital Service District Family Medicine CurrentSince Aug 23, 2022 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
North Caddo Hospital Service District Emergency Medicine CurrentSince Aug 23, 2022 Accepting new patients
North Caddo Hospital Service District Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Benton Medical CurrentSince Jul 1, 2023 Accepting new patients
North Caddo Medical Center Community RX PastSince May 25, 2025 Accepting new patients
South Bossier Medical Family Medicine PastSince Jan 28, 2024 Accepting new patients
Southerncare, Inc. Family Medicine Past Accepting new patients

Locations

188 Burt Blvd
Benton, LA 71006
Phone (318) 965-1000

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

112 N Forrest Rd
Plain Dealing, LA 71064
Phone (318) 326-7272

5948 N Market St
Shreveport, LA 71107
Phone (318) 375-0001

2001 Doctors Dr
Springhill, LA 71075
Phone (318) 539-1000

815 S Pine St
Vivian, LA 71082
Phone (318) 375-3239

815 S Pine St
Ste A
Vivian, LA 71082

Interoperability endpoints

  • Direct secure messaging: chaseherrera@ncmc.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/BAJHBA

Organizations & group practices 10

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1487282125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 S PINE ST",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710823314",
            "telephone_number": "183-375-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 S PINE ST",
            "city": "VIVIAN",
            "state": "LA",
            "postal_code": "710823353",
            "telephone_number": "318-375-3239",
            "fax_number": "318-375-2755"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5948 N Market St",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711072017",
            "country_code": "US",
            "telephone_number": "318-375-0001",
            "fax_number": "318-375-0002",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "815 S Pine St",
            "address_purpose": "LOCATION",
            "city": "Vivian",
            "state": "LA",
            "postal_code": "710823353",
            "country_code": "US",
            "telephone_number": "318-375-3235",
            "fax_number": "318-375-5938",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "188 Burt Blvd",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "LA",
            "postal_code": "710064900",
            "country_code": "US",
            "telephone_number": "318-965-5017",
            "fax_number": "318-965-5019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 N Forrest Rd",
            "address_purpose": "LOCATION",
            "city": "Plain Dealing",
            "state": "LA",
            "postal_code": "710644031",
            "country_code": "US",
            "telephone_number": "318-326-7272",
            "fax_number": "318-326-7282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "CHASE",
        "middle_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "331859",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "331859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vivian, LA

Sources for this page

Verify at the official NPI Registry.