Active NPI
Edward L. Herman MD PC
- Psychiatry Physician
- Bloomfield Hills, MI
National Provider Identifier
1942432349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 4301024095
- Legal business name
- EDWARD L. HERMAN MD PC
- Practice address
- 43996 Woodward Ave
Suite 210
Bloomfield Hills, MI 48302-5027 - Phone
- (248) 338-2497
- Fax
- (248) 332-4552
- NPI assigned
- Aug 18, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Edward Lee Herman, MD
- Title
- President
- Phone
- (248) 338-2497
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 4301024095 | MI | Primary |
Addresses
Primary practice location
43996 Woodward Ave
Suite 210
Bloomfield Hills, MI 48302-5027
Mailing address
43996 Woodward Ave
Suite 210
Bloomfield Hills, MI 48302-5027
Phone (248) 338-2497
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1066544-10 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
43996 Woodward Ave
Ste 210
Bloomfld Hls, MI 48302
Phone (248) 338-2497
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250553600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1250553600000",
"number": "1942432349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43996 WOODWARD AVE",
"address_2": "SUITE 210",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483025027",
"telephone_number": "248-338-2497",
"fax_number": "248-332-4552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43996 WOODWARD AVE",
"address_2": "SUITE 210",
"city": "BLOOMFIELD HILLS",
"state": "MI",
"postal_code": "483025027",
"telephone_number": "248-338-2497",
"fax_number": "248-332-4552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EDWARD L. HERMAN MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-18",
"last_updated": "2009-08-18",
"status": "A",
"authorized_official_last_name": "HERMAN",
"authorized_official_first_name": "EDWARD",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-338-2497",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MI",
"license": "4301024095",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1066544-10",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomfield Hills, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.