Active NPI
Richard A Herbert, D.O.
- Pulmonary Disease Physician
- Shelby TWP, MI
National Provider Identifier
1881619625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 4301006371
- Practice address
- 50505 Schoenherr Rd
Suite 290
Shelby TWP, MI 48315-3140 - Phone
- (586) 314-0080
- Fax
- (586) 731-6275
- NPI assigned
- Jul 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 4301006371 | MI | Primary |
Addresses
Primary practice location
50505 Schoenherr Rd
Suite 290
Shelby TWP, MI 48315-3140
Mailing address
50505 Schoenherr Rd
Suite 290
Shelby TWP, MI 48315-3140
Phone (586) 314-0080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1564313 | Medicaid | MI |
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301006371 | MI | MD | Pulmonary Disease Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1246924800000",
"number": "1881619625",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50505 SCHOENHERR RD",
"address_2": "SUITE 290",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483153140",
"telephone_number": "586-314-0080",
"fax_number": "586-731-6275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50505 SCHOENHERR RD",
"address_2": "SUITE 290",
"city": "SHELBY TWP",
"state": "MI",
"postal_code": "483153140",
"telephone_number": "586-314-0080",
"fax_number": "586-731-6275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBERT",
"first_name": "RICHARD",
"middle_name": "A",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2009-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MI",
"license": "4301006371",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1564313",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Shelby TWP, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.