Dr. Anthony Jay Herzog, MD
Hospitalist in Palm Bay, FL. Individual provider (NPI-1).
NPI number1003255019
StatusActive
Last updated in NPPESMay 9, 2018
Details
- NPI
- 1003255019
- Entity type
- Individual (NPI-1)
- Name
- Dr. Anthony Jay Herzog
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 24, 2013
- Last updated
- May 9, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - INTERNAL MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | ME130900 | FL | Yes |
Practice location
1425 Malabar Rd NePalm Bay, FL 32907-2506
Phone 321-434-8078 · Fax 321-434-8075
Mailing address
3300 S Fiske BlvdRockledge, FL 32955-4306
Phone 321-434-8078
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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