Individual provider Active NPI

Frederick N. Herman, MD

  • Colon & Rectal Surgery Physician
  • Plantation, FL
National Provider Identifier
1811957129
Registry record updated Nov 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
ME33579 Issued in FL
Practice address
350 NW 84TH Ave
#311
Plantation, FL 33324-1817
Phone
(954) 476-9899
Fax
(954) 476-9180
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME33579 FL
Colon & Rectal Surgery Physician 208C00000X ME33579 FL Primary

Addresses

Primary practice location

350 NW 84TH Ave
#311
Plantation, FL 33324-1817

Mailing address

350 NW 84TH Ave
Ste 311
Plantation, FL 33324-1817
Phone (954) 476-9899

Other identifiers 2

IdentifierTypeStateIssuer
055811700MedicaidFL
94153OtherFLBCBS OF FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040823000529 FL Practitioner - General Surgery 6002880432 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME33579FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Surgical Specialists LLC Surgery CurrentSince Jul 1, 2009 Accepting new patients
Surgery Specialists of Broward Inc Surgery Past Accepting new patients
Outpatient Surgical Services LTD PastSince May 1, 2023 Accepting new patients
Surgery Specialists of Broward Inc Colon & Rectal Surgery Past Accepting new patients

Locations

350 NW 84th Ave
Ste 311
Plantation, FL 33324
Phone (954) 476-9899

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290384000000",
    "number": "1811957129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE",
            "address_2": "STE 311",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241817",
            "telephone_number": "954-476-9899",
            "fax_number": "954-476-9180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 NW 84TH AVE",
            "address_2": "#311",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333241817",
            "telephone_number": "954-476-9899",
            "fax_number": "954-476-9180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "FREDERICK",
        "middle_name": "N.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2010-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME33579",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "FL",
            "license": "ME33579",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "055811700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "94153",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.