Individual provider Active NPI

Michael Darren Herndon, D.O.

  • Family Medicine Physician
  • Alexandria, AL
National Provider Identifier
1508859588
Registry record updated Sep 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO468 Issued in AL
Practice address
7701 Al Highway 144
Alexandria, AL 36250-5081
Phone
(256) 892-8135
Fax
(256) 892-8138
NPI assigned
Aug 25, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO468 AL Primary

Addresses

Primary practice location

7701 Al Highway 144
Alexandria, AL 36250-5081

Mailing address

PO Box 529
Alexandria, AL 36250-0529
Phone (256) 892-8135

Other identifiers 1

IdentifierTypeStateIssuer
51519513OtherBLUE CROSS/BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040310000661 AL Practitioner - Family Practice 1153219050 Practice locations: Alexandria, AL

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7701 Al Hwy 144
Alexandria, AL 36250-5081
Phone (256) 892-8135

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO468ALMDFamily Medicine Physician

Interoperability endpoints

  • Direct secure messaging: mherndon@amc-al.direct.office.nextgen.com

Hospital & facility affiliations 3

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": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1508859588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 529",
            "city": "ALEXANDRIA",
            "state": "AL",
            "postal_code": "362500529",
            "telephone_number": "256-892-8135",
            "fax_number": "256-892-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7701 AL HIGHWAY 144",
            "city": "ALEXANDRIA",
            "state": "AL",
            "postal_code": "362505081",
            "telephone_number": "256-892-8135",
            "fax_number": "256-892-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "MICHAEL",
        "middle_name": "DARREN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "DO468",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "51519513",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, AL

Sources for this page

Verify at the official NPI Registry.