DR. FREDERICK BRYAN HEBERT (NPI# 1366472540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366472540 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK BRYAN HEBERT |
| Credential | MD |
| Practice Address |
1056 E 19th Ave B130 Denver CO 80218-1007 |
| Mailing Address |
801 S Gilpin St Denver CO 80209-4514 |
| Practice Telephone | 3038616200 |
| Practice Fax Number | 3038616209 |
| Mailing Telephone | 3034282540 |
| Mailing Fax Number | 3037446227 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
17062 | CO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 01170620 | 05 |
| Street Address |
1056 E 19TH AVE B130 |
| City | DENVER |
| State | CO |
| Zip Code | 80218-1007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760477699 | Children's Anesthesia | Anesthesiology | 1056 E 19th Ave, Denver, CO 80218-1007 | 2005-09-16 |
| 1033304829 | Rosalie Jo Bush | Clinical Nurse Specialist | 1056 E 19th Ave, Box 395, Denver, CO 80218-1007 | 2007-09-13 |
| 1598957045 | Kathleen Mary Pool | Nurse Practitioner | 1056 E 19th Ave, Denver, CO 80218-1007 | 2007-08-17 |
| 1003024274 | Janet Mae Stewart | Medical Genetics | 1056 E 19th Ave, Denver, CO 80218-1007 | 2007-05-19 |
| 1346469327 | Michelle K Baker | Physician Assistant | 1056 E 19th Ave, Denver, CO 80218-1007 | 2007-04-25 |
| 1598893604 | Peter Lloyd Zang | Pediatrics | 1056 E 19th Ave, B251, Denver, CO 80218-1007 | 2007-03-01 |
| 1558449819 | Thomas J. Wera | Pediatrics | 1056 E 19th Ave, Denver, CO 80218-1007 | 2006-11-02 |
| 1841378106 | John P. Moyer | Pediatrics | 1056 E 19th Ave, Denver, CO 80218-1007 | 2006-11-02 |
| 1427133156 | Robert L. Garcea | Pediatrics | 1056 E 19th Ave, Denver, CO 80218-1007 | 2006-10-25 |
| 1811072556 | Laura Polakowski | Pediatrics | 1056 E 19th Ave, Denver, CO 80218-1007 | 2006-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598394462 | Robert Collins Taylor | Student in an Organized Health Care Education/Training Program | Family Medicine - Rainer General Surgery, 1960 Ogden Street, Suite 400, Denver, CO 80218 | 2020-04-03 |
| 1679136568 | Ayal Levi | Student in an Organized Health Care Education/Training Program | 1375 E. 19th Avenue Saint Joseph Hospital, Russell Pavillion, 2nd Floor Gme, Denver, CO 80218 | 2019-04-17 |
| 1588124408 | Leah Kellogg | Student in an Organized Health Care Education/Training Program | Bruner Family Medicine - 1960 Ogden St, Suite 460, Denver, CO 80218 | 2019-03-25 |
| 1316407828 | Brant Barry Hafen | Student in an Organized Health Care Education/Training Program | Family Medicine - Caritas Clinic, 1960 Ogden St., Suite 400, Denver, CO 80218 | 2019-03-21 |
| 1679058671 | Katarina Baldovin | Behavioral Analyst | 1430 Humboldt St, Apt 502, Denver, CO 80218 | 2018-09-26 |
| 1235677345 | Angelica Hollins Cunningham | Physical Therapist | 1830 N Franklin St Ste 400, Denver, CO 80218 | 2017-02-09 |
| 1104373786 | Anoush Simonyan | Counselor | 1724 Gilpin Street, Denver, CO 80218 | 2016-09-01 |
| 1881140143 | James Cole Abrams, LLC | Community/Behavioral Health | 1252 Corona St, Apt 4, Denver, CO 80218 | 2016-08-28 |
| 1316398167 | Joanna Ford Counseling | Community/Behavioral Health | 825 East Speer Blvd., 100b, Denver, CO 80218 | 2016-06-23 |
| 1487002671 | Anne Elizabeth Gulick | Physician Assistant | 1601 E 19th Ave, Suite 6600, Denver, CO 80218 | 2016-05-27 |
| Find all providers in zip 80218 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417440652 | Christina Sternitzke | Psychiatry & Neurology | 300 S Jackson St Ste 240, Denver, CO 80209 | 2018-06-12 |
| 1205254182 | Elizabeth Fenstermacher | Psychiatry & Neurology | 777 Bannock St Dept Of, Denver, CO 80204-4507 | 2014-03-28 |
| 1467725333 | Gordon King Farley | Psychiatry & Neurology | 12015 E 46th Ave Ste 500, Denver, CO 80239-3133 | 2012-02-22 |
| 1356500292 | Susan Mary Vanscoyk-simon | Psychiatry & Neurology | 1616 17th Street Suite 578, Denver, CO 80202 | 2008-06-05 |
| 1114118742 | Adam S Burstein | Psychiatry & Neurology | 1731 E 16th Ave, Denver, CO 80218-1628 | 2007-08-08 |
| 1336355130 | Sascha Arbouet | Psychiatry & Neurology | 660 Bannock St Fl 5, Denver, CO 80204 | 2007-05-16 |
| 1700938990 | Mira Eklund | Psychiatry & Neurology | 455 Acoma St, Denver, CO 80204-5112 | 2007-01-17 |
| 1356409064 | Robert Lee Hernandez | Psychiatry & Neurology | 3520 W Oxford Ave, Denver, CO 80236-3108 | 2006-12-05 |
| 1538244272 | Carolyn F. Munro | Psychiatry & Neurology | 4100 E Mississippi Ave Ste 600, Denver, CO 80246-3054 | 2006-10-25 |
| 1518479799 | Donna Vishnevetsky Md LLC | Psychiatry & Neurology | 3801 E Florida Ave, Denver, CO 80210-2571 | 2017-10-28 |
| Find all providers in DENVER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.