Provider Demographics
NPI:1518950187
Name:HERRMAN, EDWARD (MD)
Entity type:Individual
Prefix:
First Name:EDWARD
Middle Name:
Last Name:HERRMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 3RD AVE W STE 110
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34205-8628
Mailing Address - Country:US
Mailing Address - Phone:941-421-5999
Mailing Address - Fax:941-960-8707
Practice Address - Street 1:200 3RD AVE W STE 110
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-8628
Practice Address - Country:US
Practice Address - Phone:941-421-5999
Practice Address - Fax:941-960-8707
Is Sole Proprietor?:No
Enumeration Date:2005-08-29
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME0062922208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P02788298OtherMEDICARE RAILROAD
FL012602900Medicaid
WAMW4OtherBCBS OF FL
GAP01781536OtherCLEAR HEALTH ALLIANCE
FLP102262OtherFREEDOM HEALTH
FL012602900Medicaid
FL08971OtherUNIVERSAL
FL17999OtherBCBS FL
FL206590OtherAVMED
FLP01040801OtherRAILROAD MCR
FLP939407OtherOPTIMUM
FLP102262OtherFREEDOM HEALTH
FL17999WMedicare PIN
FL08971OtherUNIVERSAL