Herminio B Balderama, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD020213 Issued in TN

Practice address

8357 Memphis Arlington Rd
Bartlett, TN 38133-2138

Phone

(901) 371-0200

Fax

(901) 383-1178

NPI assigned

Jun 8, 2006

Last updated

Nov 25, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Bartlett- Raleigh Internal Medicine Group, P. C.

  • Internal Medicine Physician
  • Bartlett, TN
  • NPI 1386685246
  Authorized official Same address or phone

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637798400000",
    "number": "1861433377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8357 MEMPHIS ARLINGTON RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332138",
            "telephone_number": "901-371-0200",
            "fax_number": "901-383-1178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8357 MEMPHIS ARLINGTON RD",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381332138",
            "telephone_number": "901-371-0200",
            "fax_number": "901-383-1178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALDERAMA",
        "first_name": "HERMINIO",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2021-11-25",
        "certification_date": "2021-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "MD020213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3051841",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Leigh Bailey, MS, RD, LDN
• Joshua Thomas Bailey, BS, RBT
• Maura Catherine Bailey, PT, DPT
• Rachael Leigh Bailey, LCSW
• Tim Bakelaar, D.M.D.
• Justin David Baldridge, D.D.S.
• Ballast Behavioral Health Group PLLC
• Isaac Balmer, DPT
• Tola E Bamidele, PA
• Kyler Benai Banyon

• Internal Medicine Physician in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2021; 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.