Active NPI
William G Herrera, M.D.
- Neurology Physician
- Colorado Springs, CO
National Provider Identifier
1730181645
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 26506
- Practice address
- 175 S Union Blvd
Suite 310
Colorado Springs, CO 80910-3113 - Phone
- (719) 473-3272
- Fax
- (719) 389-1191
- NPI assigned
- Aug 10, 2005
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 26506 | CO | Primary |
Addresses
Primary practice location
175 S Union Blvd
Suite 310
Colorado Springs, CO 80910-3113
Mailing address
175 S Union Blvd
Suite 310
Colorado Springs, CO 80910-3113
Phone (719) 473-3272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01265065 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26506 | CO | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Current | Accepting new patients | |
| Hilo Benioff Medical Center | Past | Accepting new patients |
Locations
1190 Waianuenue Ave
Hilo, HI 96720
Phone (808) 932-3000
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1962584060
-
- Anesthesiology Physician
- Hilo, HI
- NPI 1235981614
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271721600000",
"number": "1730181645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 S UNION BLVD",
"address_2": "SUITE 310",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103113",
"telephone_number": "719-473-3272",
"fax_number": "719-389-1191"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "175 S UNION BLVD",
"address_2": "SUITE 310",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809103113",
"telephone_number": "719-473-3272",
"fax_number": "719-389-1191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "WILLIAM",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-10",
"last_updated": "2010-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "CO",
"license": "26506",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01265065",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.