Active NPI
Eric K Hammerberg MD PC
- Neurology Physician
- Wheat Ridge, CO
National Provider Identifier
1790854412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 16589
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CO40689 | Other | CO | INDIVIDUAL PTAN |
| HA38551 | Other | BCBS | |
| 01165893 | Medicaid | CO | |
| COB4381 | Other | CO | GROUP PTAN |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physical Medicine & Rehabilitation Physician
- Lakewood, CO
- NPI 1184725947
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.