James Waldo Herbert, M. D.

Primary specialty

Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X

License

D9492 Issued in TX

Practice address

314 E Twohig Ave
San Angelo, TX 76903-5502

Phone

(325) 653-6944

Fax

(325) 658-6500

NPI assigned

Nov 22, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• San Angelo Pediatric Associates, P.a.

  • Pediatric Adolescent Medicine Physician
  • San Angelo, TX
  • NPI 1699855270
  NPD (past) Authorized official

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278460800000",
    "number": "1497738645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 PALO DURO DR",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769047433",
            "telephone_number": "325-949-8671",
            "fax_number": "325-658-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 E TWOHIG AVE",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769035502",
            "telephone_number": "325-653-6944",
            "fax_number": "325-658-6500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBERT",
        "first_name": "JAMES",
        "middle_name": "WALDO",
        "name_prefix": "Dr.",
        "credential": "M. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2010-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "TX",
            "license": "D9492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "00JT67",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130369502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Lynn Henrikson, NP
• Kimberly Anne Henry, LMSW
• David Christopher Henson, D.D.S.
• Erin Elisabeth Henson, DDS
• David Charles Herbert, M.D.
• Lauren Herbert, LPC-A
• Garrett Herdman, PA-C
• Justina Ozuna Heredia, LCDC, LPC
• Adriana Hernandez, RBT
• Brandan Hernandez, M.D.

• Pediatric Adolescent Medicine Physician in San Angelo, TX
• Providers in San Angelo, TX by specialty
• Pediatric Adolescent Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; 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.