MEDICARE: PIERRE R HERARD M.D.

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2081P2900X	Pain Medicine (Physical Medicine & Rehabilitation) Physician	201050	NY
2	208100000X	Physical Medicine & Rehabilitation Physician	ME140504	FL
3	208VP0014X	Interventional Pain Medicine Physician	201050	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053361154
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PIERRE R HERARD M.D.

Provider Business Mailing Address
First Line	:	PO BOX 2147
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33902-2147
Country	:	US
Telephone Number	:	239-343-7110
Fax Number	:	239-343-5255

Provider Business Practice Location Address
First Line	:	16281 BASS RD STE 300
Second Line	:
City	:	FORT MYERS
State	:	FL
Zip	:	33908-9687
Country	:	US
Telephone Number	:	239-343-7110
Fax Number	:	239-343-5255

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

Provider Enumeration Date	:	05/11/2006
Last Update Date	:	02/20/2026

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Directions to “ PIERRE R HERARD M.D.” Practice Location

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