Kenneth Brooks Sherman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E5617 Issued in TX

Practice address

209 E 2ND St
Elgin, TX 78621-2225

Phone

(512) 285-3315

NPI assigned

Sep 19, 2005

Last updated

Sep 27, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1710972476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 E 2ND ST",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "786212225",
            "telephone_number": "512-285-3315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 E 2ND ST",
            "city": "ELGIN",
            "state": "TX",
            "postal_code": "786212225",
            "telephone_number": "512-285-3315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "KENNETH",
        "middle_name": "BROOKS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E5617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080720801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clayton William Rutkowski, OD
• Scott B Herring DDS PLLC
• Ariel Jimenez Segura, MSN, APRN, FNP-C
• Senior Connections of Texas PLLC
• Serve All Medical Elgin PLLC
• Ayesha Shoukat
• Small Wonder Eyecare PLLC
• Faith Smith
• Smithville Hospital Authority (Elgin Nursing and Rehabilitation Center)
• Tara Steinfeld, LPC

• Family Medicine Physician in Elgin, TX
• Providers in Elgin, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.