NPIMap

Individual provider Active NPI

Brandon Michael Herber, NP

  • Gerontology Nurse Practitioner
  • Rochester Hills, MI
National Provider Identifier
1790546620
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
4704359772 Issued in MI
Practice address
1701 South Blvd E Ste 390
Rochester Hills, MI 48307-6117
Phone
(248) 293-0055
Fax
(248) 293-3348
NPI assigned
Jan 18, 2024
Last updated
Jan 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 4704359772 MI Primary

Addresses

Primary practice location

1701 South Blvd E Ste 390
Rochester Hills, MI 48307-6117

Mailing address

1701 South Blvd E Ste 390
Rochester Hills, MI 48307-6117
Phone (248) 293-0055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240226002335 MI Practitioner - Nurse Practitioner 9739524182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Academic Cardiology Associates, PCGroup PAC ID 8224923180, 9 clinicians

Practice addresses (Care Compare)

1701 S Blvd E
Suite 390
Rochester Hills, MI 48307-6117
Phone (248) 293-0055

205 N E Ave
Jackson, MI 49201-1753
Phone (217) 787-9322

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Academic Cardiology Associates, PC CurrentSince Jan 22, 2024 Accepting new patients
W.a. Foote Memorial Hospital, Inc Gerontology CurrentSince Aug 1, 2025 Accepting new patients
W.a. Foote Memorial Hospital, Inc CurrentSince Aug 1, 2025 Accepting new patients
W.a. Foote Memorial Hospital, Inc Current Accepting new patients
Wa Foote Memorial Hospital, Inc Past Accepting new patients

Locations

205 N East Ave
Jackson, MI 49201
Phone (517) 788-4730

309 Page Ave
Jackson, MI 49201
Phone (517) 205-1234

813 W Michigan Ave
Jackson, MI 49202
Phone (517) 205-1000

1701 South Blvd E
Ste 390
Rochester Hills, MI 48307
Phone (248) 293-0055

7845 Spring Arbor Rd
Spring Arbor, MI 49283
Phone (517) 205-2580

Interoperability endpoints

  • Direct secure messaging: bherber1871367@epic00.shdirect.org

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1790546620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E STE 390",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076117",
            "telephone_number": "248-293-0055",
            "fax_number": "248-293-3348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E STE 390",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076117",
            "telephone_number": "248-293-0055",
            "fax_number": "248-293-3348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERBER",
        "first_name": "BRANDON",
        "middle_name": "MICHAEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704359772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.