DR. GLENN ERIC HERRMANN M.D. NPI 1629085196

NPI Information

  • NPI: 1629085196
  • Provider Name: DR. GLENN ERIC HERRMANN, M.D.
  • Classification: Surgery - 2086S0122X
  • Specialization: Plastic and Reconstructive Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 130 OLD LARAMIE TRL E BLDG 4
    LAFAYETTE, CO
    ZIP 80026
  • Phone: (303) 664-9400

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NPI Details

DR. Glenn Eric Herrmann, M.D. is a plastic and reconstructive surgery surgery in Lafayette, CO with 29 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Glenn Eric Herrmann, M.D. NPI is 1629085196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

130 OLD LARAMIE TRL E BLDG 4
LAFAYETTE, CO
ZIP 80026-014
Phone: (303) 664-9400
Fax: (303) 666-5362

The NPI 1629085196 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Repair of separation of wound closure with insertion of packing (HCPCS:12021)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Mastectomy (HCPCS:NAN04)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 8/1/2006 and was last updated on 3/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1204E00000XOral & Maxillofacial Surgery44716COLORADONo
2208200000XPlastic Surgery44716COLORADONo
32082S0099XPlastic SurgeryPlastic Surgery Within the Head and Neck44716COLORADONo
42082S0105XPlastic SurgerySurgery of the Hand44716COLORADONo
5208600000XSurgery44716COLORADONo
62086S0122XSurgeryPlastic and Reconstructive Surgery44716COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
115035859MEDICAIDCOLORADO
2040644MEDICARE PINCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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