Active NPI
Eric Johan Hemberg, MD
- Family Medicine Physician
- Opelika, AL
National Provider Identifier
1992738926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 8688
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051014417 | Other | AL | BLUE CROSS BLUE SHIELD |
| 000014417 | Medicaid | AL | |
| 009941242 | Medicaid | AL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00008688 | AL | MD | Family Medicine Physician |
| 8688 | AL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The East Alabama Health Care Authority | Current | Accepting new patients | |
| Eamc ER Physicians | Current | Accepting new patients | |
| The East Alabama Health Care Authority | Current | Accepting new patients | |
| Valley Family Physicians, LLC | Family Medicine | Past | Accepting new patients |
Locations
2000 Pepperell Pkwy
Opelika, AL 36801
Phone (334) 364-3300
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.181001
- 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.
-
- General Acute Care Hospital
- Opelika, AL
- NPI 1073685483
-
- Emergency Medical Services (Emergency Medicine) Physician
- Opelika, AL
- NPI 1659541670
-
- Community/Retail Pharmacy
- Opelika, AL
- NPI 1215089305
-
- Family Medicine Physician
- Valley, AL
- NPI 1700951381
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.