# JOSEPH R HERZBERGER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1205877438
- **Gender:** Man
- **Credential:** PA

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363A00000X | Physician Assistant | 004347 | GA | Yes |
| 363AM0700X | Medical Physician Assistant | 004347 | GA | — |

## Other

- **Enumeration date:** 06/09/2006
- **Last updated:** 11/13/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 10044975 | AMERIGROUP | GA |
| 01 | — | 333514 | WELLCARE | GA |
| 05 | — | 740575585 | — | GA |
| 05 | — | 740575585B | — | GA |
| 05 | — | 740575585C | — | GA |