Individual provider Active NPI

David Allen Herf, MD

  • Surgery Physician
  • Crestview, FL
National Provider Identifier
1699711911
Registry record updated Jun 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME0043630 Issued in FL
Practice address
435 Brookmeade Dr
Crestview, FL 32539-7304
Phone
(850) 682-0409
Fax
(850) 689-1696
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 12552 AL
Surgery Physician 208600000X ME0043630 FL Primary

Addresses

Primary practice location

435 Brookmeade Dr
Crestview, FL 32539-7304

Mailing address

435 Brookmeade Dr
Crestview, FL 32539-7304
Phone (850) 682-0409

Other identifiers 1

IdentifierTypeStateIssuer
068340000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20110125000259 FL Practitioner - General Surgery 2567641467 Practice locations: Crestview, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12552ALMDPharmacist
ME0043630FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David a Herf, MD Surgery PastSince Mar 4, 1984 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dherf@yourcarecommunity.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717804800000",
    "number": "1699711911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 BROOKMEADE DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325397304",
            "telephone_number": "850-682-0409",
            "fax_number": "850-689-1696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 BROOKMEADE DR",
            "city": "CRESTVIEW",
            "state": "FL",
            "postal_code": "325397304",
            "telephone_number": "850-682-0409",
            "fax_number": "850-689-1696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERF",
        "first_name": "DAVID",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AL",
            "license": "12552",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME0043630",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "068340000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview, FL

Sources for this page

Verify at the official NPI Registry.