Individual provider Active NPI

Alex M Herzberg, MD

  • Orthopaedic Surgery Physician
  • Vancouver, WA
National Provider Identifier
1629085519
Registry record updated Apr 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
66572-20 Issued in WI
Practice address
2525 NE 139TH St
#140
Vancouver, WA 98686-2719
Phone
(360) 882-2778
Fax
(360) 604-1697
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD21166 OR
Orthopaedic Surgery Physician 207X00000X 66572-20 WI Primary
Orthopaedic Surgery Physician 207X00000X MD60431541 WA

Addresses

Primary practice location

2525 NE 139TH St
#140
Vancouver, WA 98686-2719

Mailing address

PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7226

Other identifiers 2

IdentifierTypeStateIssuer
001920MedicaidOR
276799MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, WI, MA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140508001708 WA Practitioner - Orthopedic SurgeryPractitioner - Internal Medicine 4183785462 Reassigns benefits to 3 organizations
I20161221002206 WI Practitioner - Orthopedic Surgery 4183785462 Reassigns benefits to 3 organizations
I20230630001159 MA Practitioner - Orthopedic Surgery 4183785462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Washington School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Surgicalists LLCGroup PAC ID 0244553105, 24 clinicians

Practice addresses (Care Compare)

1151 Robeson St
Suite 101
Fall River, MA 02720-5566
Phone (508) 973-2211

1200 W Sims Way
Suite C
Port Townsend, WA 98368-3031
Phone (360) 385-6297

834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 385-2200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66572-20WIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson County Public Hospital District No 2 CurrentSince Jan 1, 2018 Accepting new patients
Synergy Surgicalists LLC Orthopaedic Surgery CurrentSince May 22, 2023 Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Nov 3, 2016 Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Apr 3, 2020 Accepting new patients
Oconto Hospital & Medical Center, Inc. CurrentSince Apr 3, 2020 Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Apr 3, 2020 Accepting new patients
Jefferson County Public Hospital District No 2 CurrentSince Jan 1, 2018 Accepting new patients
Bellin Memorial Hospital Inc Orthopaedic Surgery CurrentSince Dec 19, 2016 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Dec 19, 2016 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Public Hospital Dist No 1 Skagit Current Accepting new patients
Public Hospital Dist No 1 Skagit CurrentSince Nov 3, 2016 Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients
Mid-Columbia Medical Center Past Accepting new patients

Locations

1151 Robeson St
Ste 101
Fall River, MA 02720

300A Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 973-2213

1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586

89 Breaker Ln
Port Ludlow, WA 98365
Phone (360) 437-5067

834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400

1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

Interoperability endpoints

  • Direct secure messaging: aherzberg64534@direct.southcoast.org
  • Direct secure messaging: aherzberg176077@direct.thedacare.org
  • Direct secure messaging: aherzberg1045698@direct.emplifyhealth.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585872000000",
    "number": "1629085519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7226",
            "fax_number": "920-445-7238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 NE 139TH ST",
            "address_2": "#140",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986862719",
            "telephone_number": "360-882-2778",
            "fax_number": "360-604-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZBERG",
        "first_name": "ALEX",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-04-03",
        "certification_date": "2020-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD21166",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WI",
            "license": "66572-20",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD60431541",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001920",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276799",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

Verify at the official NPI Registry.