Herman Joseph Barthel, D.O.
Individual provider Active NPI Family Medicine Physician · Fort Stewart, GA
NPI 1801912787 · NPPES record last updated Nov 14, 2016
Key facts
- NPI
- 1801912787
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- E2546 (AR)
- Practice address
- 1061 Harmon Ave
Ste 1D03
Fort Stewart, GA 31314-5674 - Phone
- (912) 435-6633
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120328000790 | GA | Order and Referring Only - Family Practice |
7416117478 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E2546 | AR | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E2546 | AR | Yes |
Addresses
Primary practice location
1061 Harmon Ave
Ste 1D03
Fort Stewart, GA 31314-5674
Mailing address
1061 Harmon Ave
Ste 1D03
Fort Stewart, GA 31314-5674
Phone (912) 435-6633
Other providers in Fort Stewart, GA
- John Edward Balser
- James Jordan Banks
- Barber DME Supply Group
- Barbara M Barnett
- Harry Barrett
- Jonathan Scott Bartlett
- Michelle Bartley
- Scott S. Barton
- Giovanni Aquilla Bass
- Linda E Bassing
All providers in Fort Stewart, GA · Family Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.