Active NPI
Terrell Kent Hebert, MD
- Geriatric Medicine (Internal Medicine) Physician
- Muskegon, MI
National Provider Identifier
1730102625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- 20758
- Practice address
- 165 E Apple Ave
Ste 201
Muskegon, MI 49442-3463 - Phone
- (231) 725-4105
- NPI assigned
- Jul 25, 2006
- Last updated
- Sep 29, 2016
- 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 |
|---|---|---|---|---|
| Geriatric Medicine (Internal Medicine) Physician | 207RG0300X | 20758 | SC | Primary |
Addresses
Primary practice location
165 E Apple Ave
Ste 201
Muskegon, MI 49442-3463
Mailing address
601 Bridge St
East Jordan, MI 49727-9383
Phone (231) 725-4105
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 |
|---|---|---|---|
| 20758 | SC | MD | Geriatric Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1730102625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 BRIDGE ST",
"city": "EAST JORDAN",
"state": "MI",
"postal_code": "497279383",
"telephone_number": "231-725-4105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 E APPLE AVE",
"address_2": "STE 201",
"city": "MUSKEGON",
"state": "MI",
"postal_code": "494423463",
"telephone_number": "231-725-4105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEBERT",
"first_name": "TERRELL",
"middle_name": "KENT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-25",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Geriatric Medicine",
"state": "SC",
"license": "20758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Muskegon, MI
- Hearing Health USA-General, LLC (Hearing Health PA)
- Heart and Hands in Home Care
- Heartland-Knollview Mi LLC (Heartland Health Care Center - Knollview)
- Joyce Heater-Deville, LPN
- Amya Heath, PA
- Megan Michelle Hecksel, CMA
- D'Andrea Marie Heeres, M.D.
- Kassidy Heeringa, DPT
- Jack Heethouse, D.O.
- James F Hegedus, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.