Individual provider Active NPI

Jaime Herran Sr., MD

  • Internal Medicine Physician
  • Pompano Beach, FL
National Provider Identifier
1871998856
Registry record updated Nov 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME 69222 Issued in FL
Practice address
1360 S Ocean Blvd Apt 1707
Pompano Beach, FL 33062-7147
Phone
(954) 784-0688
NPI assigned
Nov 3, 2014
Last updated
Nov 3, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME 69222 FL Primary

Addresses

Primary practice location

1360 S Ocean Blvd Apt 1707
Pompano Beach, FL 33062-7147

Mailing address

1360 S Ocean Blvd Apt 1707
Pompano Beach, FL 33062-7147
Phone (954) 784-0688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME 69222FLMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1871998856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 S OCEAN BLVD APT 1707",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627147",
            "telephone_number": "954-784-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 S OCEAN BLVD APT 1707",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330627147",
            "telephone_number": "954-784-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRAN",
        "first_name": "JAIME",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-11-03",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME 69222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.