Provider Demographics
NPI:1174740096
Name:HERBERS, JEROME EDWARD JR (MD)
Entity type:Individual
Prefix:
First Name:JEROME
Middle Name:EDWARD
Last Name:HERBERS
Suffix:JR
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 1:1215 HIGHLAND DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-1621
Mailing Address - Country:US
Mailing Address - Phone:301-495-3124
Mailing Address - Fax:
Practice Address - Street 1:1215 HIGHLAND DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-1621
Practice Address - Country:US
Practice Address - Phone:301-495-3124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2025-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0042675207R00000X
DCMD034542207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine