Individual provider Active NPI

Herman L Reid III, MD

  • Obstetrics & Gynecology Physician
  • Fort Branch, IN
National Provider Identifier
1699774885
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
01056394A Issued in IN
Practice address
7839 S Professional Dr
Fort Branch, IN 47648-8405
Phone
(812) 753-5903
NPI assigned
Jul 19, 2005
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 01056394A IN
Obstetrics & Gynecology Physician 207V00000X 01056394A IN Primary

Addresses

Primary practice location

7839 S Professional Dr
Fort Branch, IN 47648-8405

Mailing address

7839 S Professional Dr
Fort Branch, IN 47648-8405

Other names 1

  • Dr. Herman L Reid III Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address herman.reid.1@7598.direct.athenahealth.com St Mary's Medical Group, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20070226000613 IN Practitioner - Obstetrics/Gynecology 1254320278 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Temple University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Marys Medical Group LLCGroup PAC ID 1153493341, 230 clinicians

Practice addresses (Care Compare)

7839 S Professional Dr
Fort Branch, IN 47648-8405
Phone (812) 753-5950

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01056394AINMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Mary's Medical Group, LLC Obstetrics & Gynecology CurrentSince Feb 25, 2014 Accepting new patients
Primary Physicians Network LLC Current Accepting new patients
St Mary's Medical Group, LLC Obstetrics & Gynecology CurrentSince Feb 25, 2014 Accepting new patients

Locations

801 Saint Marys Dr
Ste 505E
Evansville, IN 47714
Phone (812) 491-3236

7839 S Professional Dr
Fort Branch, IN 47648
Phone (812) 753-5903

7839 S Professional Dr
#L
Fort Branch, IN 47648
Phone (812) 753-5903

250 W 96th St
#520
Indianapolis, IN 46260
Phone (317) 583-3331

1808 Sherman Dr
Princeton, IN 47670
Phone (812) 385-3401

Organizations & group practices 3

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 2

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1699774885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7839 S PROFESSIONAL DR",
            "city": "FORT BRANCH",
            "state": "IN",
            "postal_code": "476488405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7839 S PROFESSIONAL DR",
            "city": "FORT BRANCH",
            "state": "IN",
            "postal_code": "476488405",
            "telephone_number": "812-753-5903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REID",
        "first_name": "HERMAN",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01056394A",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IN",
            "license": "01056394A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "herman.reid.1@7598.direct.athenahealth.com",
            "affiliation": "Y",
            "affiliationName": "St Mary's Medical Group, LLC",
            "address_1": "7839 S Professional Dr",
            "city": "Fort Branch",
            "state": "IN",
            "country_code": "US",
            "postal_code": "476488405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "HERMAN",
            "last_name": "REID",
            "middle_name": "L",
            "prefix": "DR.",
            "suffix": "III",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fort Branch, IN

Sources for this page

Verify at the official NPI Registry.