Individual provider Active NPI

Bret E Herrman, D.C.

  • Chiropractor
  • Rogersville, MO
National Provider Identifier
1922190842
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CE 5652 Issued in MO
Practice address
319 S Main
Ste F
Rogersville, MO 65742-0228
Phone
(417) 753-2362
Fax
(417) 753-7315
NPI assigned
Sep 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CE 5652 MO Primary

Addresses

Primary practice location

319 S Main
Ste F
Rogersville, MO 65742-0228

Mailing address

PO Box 228
319 S Main, Ste F
Rogersville, MO 65742-0228
Phone (417) 753-2362

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

State licenses

LicenseStateTypeSpecialty
CE 5652MOMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922190842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 228",
            "address_2": "319 S MAIN, STE F",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657420228",
            "telephone_number": "417-753-2362",
            "fax_number": "417-753-7315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S MAIN",
            "address_2": "STE F",
            "city": "ROGERSVILLE",
            "state": "MO",
            "postal_code": "657420228",
            "telephone_number": "417-753-2362",
            "fax_number": "417-753-7315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRMAN",
        "first_name": "BRET",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "CE 5652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rogersville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.