Individual provider Active NPI

Cherrie Herrera, M.D.

  • Internal Medicine Physician
  • Clanton, AL
National Provider Identifier
1508974882
Registry record updated Aug 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20673 Issued in AL
Practice address
1320 Woodfin LN
Clanton, AL 35045-8732
Phone
(205) 755-3500
Fax
(205) 280-3348
NPI assigned
Aug 28, 2006
Last updated
Aug 1, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20673 AL Primary

Addresses

Primary practice location

1320 Woodfin LN
Clanton, AL 35045-8732

Mailing address

1320 Woodfin LN
Clanton, AL 35045-8732
Phone (205) 755-3500

Other identifiers 1

IdentifierTypeStateIssuer
96005OtherALBLUE 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
I20100726000230 AL Practitioner - Internal Medicine 5890827950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clanton Internal Medicine LLCGroup PAC ID 0446278774, 2 clinicians

Practice addresses (Care Compare)

1320 Woodfin Lane
Clanton, AL 35045-8732

1320 Woodfin LN
Clanton, AL 35045-8732
Phone (205) 755-3500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clanton Internal Medicine LLC Internal Medicine CurrentSince Jul 1, 2000 Accepting new patients

Locations

1008 Lay Dam Rd
Clanton, AL 35045
Phone (205) 755-3500

1320 Woodfin Ln
Clanton, AL 35045
Phone (205) 755-3500

Organizations & group practices 1

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 7

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1508974882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 WOODFIN LN",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350458732",
            "telephone_number": "205-755-3500",
            "fax_number": "205-280-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 WOODFIN LN",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350458732",
            "telephone_number": "205-755-3500",
            "fax_number": "205-280-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "CHERRIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "20673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "96005",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clanton, AL

Sources for this page

Verify at the official NPI Registry.