Dr. Brett Howard Herzog
Internist Medical Oncology
1418 Cross St Div Im Medical Oncology, Ste 180
Shiloh
, Illinois 62269-2988
Dr. Brett Howard Herzog
Internist Medical Oncology
1418 Cross St Div Im Medical Oncology, Ste 180
Shiloh
, Illinois 62269-2988
(314) 362-3192
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About
Features
Specialties
- Internist
- Medical Oncology
Languages spoken
- English
Location
First Address
- Dr. Brett Howard Herzog
- 660 S Euclid Ave Cb 8056
- Saint Louis, MO
- Zip : 63110-1010
- Fax : (314) 362-3192
- Phone : (314) 747-1171
Second Address
- Dr. Brett Howard Herzog
- 1418 Cross St Div Im Medical Oncology, Ste 180
- Shiloh, IL
- Zip : 62269-2988
- Fax : (618) 622-9724
- Phone : (618) 607-1340
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 036153509 | IL |
| N | 111NI0900X | Internist | 036153509 | IL |
| Y | 207RX0202X | Medical Oncology | 036153509 | IL |
National Provider Identifier
| NPI | 1023499282 |
|---|---|
| Provider Name | Dr. Brett Howard Herzog |
| First Address | Saint Louis, MO 63110-1010 |
| Second Address | Shiloh, IL 62269-2988 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/06/2015 |
| Last Update Date | 15/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 200063716 | (05) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.