Active NPI
Barry Keith Herman, M.D., M.M.M.
- Child & Adolescent Psychiatry Physician
- Radnor, PA
National Provider Identifier
1962747592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- G45054
- Practice address
- 277 Upper Gulph Rd
Radnor, PA 19087-2417 - Phone
- (610) 687-4354
- NPI assigned
- Dec 8, 2012
- 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 |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | G45054 | CA | Primary |
Addresses
Primary practice location
277 Upper Gulph Rd
Radnor, PA 19087-2417
Mailing address
277 Upper Gulph Rd
Radnor, PA 19087-2417
Phone (610) 687-4354
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
| License | State | Type | Specialty |
|---|---|---|---|
| G45054 | CA | MD | Child & Adolescent Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354924800000",
"number": "1962747592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 UPPER GULPH RD",
"city": "RADNOR",
"state": "PA",
"postal_code": "190872417",
"telephone_number": "610-687-4354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "277 UPPER GULPH RD",
"city": "RADNOR",
"state": "PA",
"postal_code": "190872417",
"telephone_number": "610-687-4354"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "BARRY",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "M.D., M.M.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-12-08",
"last_updated": "2012-12-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "G45054",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Radnor, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.