Organization Active NPI

Eric K Hammerberg MD PC

  • Neurology Physician
  • Wheat Ridge, CO
National Provider Identifier
1790854412
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
16589 Issued in CO
Legal business name
ERIC K HAMMERBERG MD PC
Practice address
4485 Wadsworth Blvd
Ste 301
Wheat Ridge, CO 80033-3318
Phone
(303) 825-3759
Fax
(303) 825-7003
NPI assigned
Nov 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

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

Authorized official

Name
Mr. Eric K Hammerberg, MD
Title
Owner
Phone
(303) 825-3759

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 16589 CO Primary

Addresses

Primary practice location

4485 Wadsworth Blvd
Ste 301
Wheat Ridge, CO 80033-3318

Mailing address

4485 Wadsworth Blvd
Ste 301
Wheat Ridge, CO 80033-3318
Phone (303) 825-3759

Other identifiers 4

IdentifierTypeStateIssuer
CO40689OtherCOINDIVIDUAL PTAN
HA38551OtherBCBS
01165893MedicaidCO
COB4381OtherCOGROUP PTAN

National Provider Directory

National Provider Directory

Locations

4350 Wadsworth Blvd
Ste 400
Wheat Ridge, CO 80033
Phone (303) 825-3759

4485 Wadsworth Blvd
Ste 301
Wheat Ridge, CO 80033
Phone (303) 424-6565

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335830400000",
    "number": "1790854412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 WADSWORTH BLVD",
            "address_2": "STE 301",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333318",
            "telephone_number": "303-825-3759",
            "fax_number": "303-825-7003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 WADSWORTH BLVD",
            "address_2": "STE 301",
            "city": "WHEAT RIDGE",
            "state": "CO",
            "postal_code": "800333318",
            "telephone_number": "303-825-3759",
            "fax_number": "303-825-7003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC K HAMMERBERG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-05-01",
        "status": "A",
        "authorized_official_last_name": "HAMMERBERG",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-825-3759",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CO",
            "license": "16589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "CO40689",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "HA38551",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01165893",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "COB4381",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheat Ridge, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.