MEDICARE: DR. PAMELA A HERBERT M.D.

Medicare Provider Information

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	202D00000X	Integrative Medicine Physician	036123497	IL
2	202D00000X	Integrative Medicine Physician	ME132462	FL
3	202D00000X	Integrative Medicine Physician	MD049126	DC
4	202D00000X	Integrative Medicine Physician	0101052384	VA
5	202D00000X	Integrative Medicine Physician	G70703	CA
6	202D00000X	Integrative Medicine Physician	Q9637	TX

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P01761897	OTHER	TX	RAIL ROAD MEDICARE

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	75-0818167-044	OTHER	TX	TRICARE
8	8GJ705	OTHER	TX	BCBS
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	8GJ704	OTHER	TX	BCBS
11	75-0818167-048	OTHER	TX	TRICARE
12	75-1976930-005	OTHER	TX	TRICARE
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

NPI Number	:	1649295098
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAMELA A HERBERT M.D.

Provider Business Mailing Address
First Line	:	1111 PENNSYLVANIA AVE SE UNIT 204
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20003-2578
Country	:	US
Telephone Number	:	703-727-6208
Fax Number	:	202-449-1044

Provider Business Practice Location Address
First Line	:	1111 PENNSYLVANIA AVE SE UNIT 204
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20003-2578
Country	:	US
Telephone Number	:	703-727-6208
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	02/07/2026

1111 PENNSYLVANIA AVE SE UNIT 204
WASHINGTON, DC
20003-2578

Practice Phone: 703-727-6208
Practice Fax: