MEDICARE: DR. TIMOTHY A BIEREMA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	4301404762	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1699759472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TIMOTHY A BIEREMA MD

Provider Business Mailing Address
First Line	:	2560 PLUM CREEK CT
Second Line	:
City	:	OAKLAND
State	:	MI
Zip	:	48363-2153
Country	:	US
Telephone Number	:	248-761-8782
Fax Number	:

Provider Business Practice Location Address
First Line	:	2560 PLUM CREEK CT
Second Line	:
City	:	OAKLAND
State	:	MI
Zip	:	48363-2153
Country	:	US
Telephone Number	:	248-761-8782
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2005
Last Update Date	:	03/06/2025

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