Individual provider Active NPI

Jan Brian Herman, D.C.

  • Chiropractor
  • Stroudsburg, PA
National Provider Identifier
1750486098
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC3797L Issued in PA
Practice address
1718 W Main St
Stroudsburg, PA 18360-1026
Phone
(570) 424-5433
Fax
(570) 424-5764
NPI assigned
Sep 13, 2006
Last updated
Feb 21, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC3797L PA Primary
Rehabilitation Chiropractor 111NR0400X AJ-3797-L PA

Addresses

Primary practice location

1718 W Main St
Stroudsburg, PA 18360-1026

Mailing address

1718 W Main St
Stroudsburg, PA 18360-1026
Phone (570) 424-5433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20111115000371 PA Practitioner - ChiropracticPractitioner - Physical Medicine and Rehabilitation 3577737287 Practice locations: Stroudsburg, PA

Care Compare profile

Medicare Care Compare
Specialty
ChiropracticAlso: Physical Medicine and Rehabilitation
Education
Sherman College of Straight Chiropractic, 1988
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1718 W Main St
Stroudsburg, PA 18360-1026
Phone (570) 424-5433

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AJ-3797-LPAMDRehabilitation Chiropractor

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1750486098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 W MAIN ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601026",
            "telephone_number": "570-424-5433",
            "fax_number": "570-424-5764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 W MAIN ST",
            "city": "STROUDSBURG",
            "state": "PA",
            "postal_code": "183601026",
            "telephone_number": "570-424-5433",
            "fax_number": "570-424-5764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "JAN",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC3797L",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "PA",
            "license": "AJ-3797-L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stroudsburg, PA

Sources for this page

Verify at the official NPI Registry.