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CALEB W. HERNDON, M.D., PH.D., P.A.
NPI 1518037175
Specialist in Brookhaven, MS

Active since November 09, 2006
347 W CHEROKEE ST, BROOKHAVEN, MS 39601(601) 833-1946(601) 833-3938 Get Directions Write a Review

NPPES record last updated: April 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Caleb W. Herndon, M.d., Ph.d., P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CALEB W. HERNDON, M.D., PH.D., P.A. (NPI 1518037175) is a healthcare organization registered as a specialist in Brookhaven, Mississippi and active in the NPI registry since November 2006. The organization lists Natalie B. Herndon, Secretary, as its authorized official.

NPPES Registry Identity

NPI1518037175
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCALEB W. HERNDON, M.D., PH.D., P.A.
Location Address347 W CHEROKEE STBrookhaven, MS 39601-3219
Mailing Address347 W Cherokee StBrookhaven, MS 39601-3219 · (601) 833-1946 · Fax (601) 833-3938
Phone(601) 833-1946
Fax(601) 833-3938
Organization SubpartNo
Authorized OfficialNatalie B. HerndonSecretary · (601) 833-1946
Enumeration DateNovember 9, 2006
Last NPPES UpdateApril 22, 2008
✔ NPI 1518037175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MS · 06643
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
347 W CHEROKEE ST, Brookhaven, MS 39601
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Other Identifiers 7

Other462669093MS · Bcbs Of Mississippi
Medicare ID-Type Unspecified180026025Railroad Medicare
Medicare ID-Type Unspecified182920829MS
Medicaid1629804LA
Medicare NSC0398550001
Medicare UPINB64091
Medicaid00015595MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BROOKHAVEN OPTICAL INC
Eyewear Supplier
347 W CHEROKEE ST
BROOKHAVEN, MS 39601
Lincoln County (601) 833-1958

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Caleb W. Herndon, M.D., Ph.D., P.A.'s NPI number?

The NPI number for Caleb W. Herndon, M.D., Ph.D., P.A. is 1518037175. It was assigned to this organization in the NPPES registry on November 9, 2006.

Where is Caleb W. Herndon, M.D., Ph.D., P.A. located?

Caleb W. Herndon, M.D., Ph.D., P.A. is located at 347 W Cherokee St, Brookhaven, MS 39601. The listed phone number is (601) 833-1946.

What is Caleb W. Herndon, M.D., Ph.D., P.A.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Caleb W. Herndon, M.D., Ph.D., P.A. was last updated on April 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.