Individual provider Active NPI

Richard Herron, MD

  • Family Medicine Physician
  • College Station, TX
National Provider Identifier
1780646687
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G5845 Issued in TX
Practice address
1602 Rock Prairie Rd
Ste. 1100
College Station, TX 77845-8306
Phone
(979) 693-2586
Fax
(979) 693-7327
NPI assigned
Apr 5, 2006
Last updated
Feb 20, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G5845 TX Primary

Addresses

Primary practice location

1602 Rock Prairie Rd
Ste. 1100
College Station, TX 77845-8306

Mailing address

2403 N Laurent St
Victoria, TX 77901-4119

Other identifiers 1

IdentifierTypeStateIssuer
80568YOtherTXBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20041019000528 TX Practitioner - Family Practice 6901866490 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G5845TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc Family Medicine CurrentSince Dec 17, 2009 Accepting new patients
Regional Employee Assistance Program Inc Family Medicine Current Accepting new patients
Regional Employee Assistance Program Inc Family Medicine CurrentSince Dec 17, 2009 Accepting new patients
Texas a&M University System Health Science Center Family Medicine Past Accepting new patients
Brazos Family Practice Associates Family Medicine Past Accepting new patients
Texas a&M University System Health Science Center Past Accepting new patients
Family Practice Foundation of the Brazos Valley Family Medicine Past Accepting new patients

Locations

2801 Franciscan Dr
Bryan, TX 77802
Phone (409) 776-3777

2804 Lake Rd
Ste 5
Huntsville, TX 77340
Phone (979) 696-2422

2403 N Laurent St
Victoria, TX 77901
Phone (361) 579-0321

Interoperability endpoints

  • Direct secure messaging: herronr@yourcarecommunity.org

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1780646687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 N LAURENT ST",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779014119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD",
            "address_2": "STE. 1100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778458306",
            "telephone_number": "979-693-2586",
            "fax_number": "979-693-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G5845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "80568Y",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in College Station, TX

Sources for this page

Verify at the official NPI Registry.