Active NPI
Gregory E Herbeck, MD
- Pediatrics Physician
- Longview, TX
National Provider Identifier
1699742338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- F1641
- Practice address
- 707 Hollybrook Dr
Longview, TX 75605-2410 - Phone
- (903) 757-6042
- Fax
- (903) 232-8556
- NPI assigned
- Mar 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | F1641 | TX | Primary |
Addresses
Primary practice location
707 Hollybrook Dr
Longview, TX 75605-2410
Mailing address
PO Box 847176
Dallas, TX 75284-7176
Phone (903) 237-1800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F1641 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Clinic of Longview PA | Pediatrics | Past | Accepting new patients |
| Regional Clinics of Longview | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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": "1141171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346889600000",
"number": "1699742338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 847176",
"city": "DALLAS",
"state": "TX",
"postal_code": "752847176",
"telephone_number": "903-237-1800",
"fax_number": "903-237-1810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 HOLLYBROOK DR",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756052410",
"telephone_number": "903-757-6042",
"fax_number": "903-232-8556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBECK",
"first_name": "GREGORY",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-01",
"last_updated": "2012-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "F1641",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.