Active NPI
Herminee O Alexanian, MD
- Pediatrics Physician
- Fort Bragg, NC
National Provider Identifier
1992879589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 123498
- Practice address
- 2817 Reilly Road
Womack Army Medical Center MCXC Cod Credentials
Fort Bragg, NC 28310 - Phone
- (910) 907-8922
- Fax
- (910) 907-6069
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| AO52923 | CA | MD | Pediatrics Physician |
| 123498 | NC | MD | Pediatrics Physician |
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | AO52923 | CA | |
| Pediatrics Physician | 208000000X | 123498 | NC | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
2817 Reilly Road
Womack Army Medical Center MCXC Cod Credentials
Fort Bragg, NC 28310
Mailing address
2817 Reilly Road
Womack Army Medical Center MCXC Cod Credentials
Fort Bragg, NC 28310
Phone (910) 907-8922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992879589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2817 REILLY ROAD",
"address_2": "WOMACK ARMY MEDICAL CENTER MCXC COD CREDENTIALS",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "28310",
"telephone_number": "910-907-8922",
"fax_number": "910-907-6069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2817 REILLY ROAD",
"address_2": "WOMACK ARMY MEDICAL CENTER MCXC COD CREDENTIALS",
"city": "FORT BRAGG",
"state": "NC",
"postal_code": "28310",
"telephone_number": "910-907-8922",
"fax_number": "910-907-6069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALEXANIAN",
"first_name": "HERMINEE",
"middle_name": "O",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "AO52923",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "123498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bragg, NC
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.