Individual provider Active NPI

Eric Johan Hemberg, MD

  • Family Medicine Physician
  • Opelika, AL
National Provider Identifier
1992738926
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
8688 Issued in AL
Practice address
101 24TH St
Opelika, AL 36801-6253
Phone
(334) 610-2222
Fax
(334) 610-2226
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 00008688 AL
Family Medicine Physician 207Q00000X 8688 AL Primary

Addresses

Primary practice location

101 24TH St
Opelika, AL 36801-6253

Mailing address

101 24TH St
Opelika, AL 36801-6253
Phone (334) 610-2222

Other identifiers 3

IdentifierTypeStateIssuer
051014417OtherALBLUE CROSS BLUE SHIELD
000014417MedicaidAL
009941242MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060908000342 AL Practitioner - Family Practice 6002720133 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00008688ALMDFamily Medicine Physician
8688ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The East Alabama Health Care Authority CurrentSince Feb 4, 2021 Accepting new patients
Eamc ER Physicians CurrentSince Feb 4, 2021 Accepting new patients
The East Alabama Health Care Authority Current Accepting new patients
Valley Family Physicians, LLC Family Medicine PastSince Nov 3, 2003 Accepting new patients

Locations

2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.181001
  • FHIR API: https://fhir-myrecord.cerner.com/r4/c5013bf3-ebba-4bda-8574-ed83da9e1633/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373932800000",
    "number": "1992738926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 24TH ST",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368016253",
            "telephone_number": "334-610-2222",
            "fax_number": "334-610-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 24TH ST",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368016253",
            "telephone_number": "334-610-2222",
            "fax_number": "334-610-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEMBERG",
        "first_name": "ERIC",
        "middle_name": "JOHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2013-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "00008688",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "8688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "051014417",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000014417",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009941242",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Opelika, AL

Sources for this page

Verify at the official NPI Registry.