Healthcare Provider Details

I. General information

NPI: 1629000369
Provider Name (Legal Business Name): RONALD BIERMA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/06/2006
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13183 W LONE TREE TRL
PEORIA AZ
85383-5425
US

IV. Provider business mailing address

13183 W LONE TREE TRL
PEORIA AZ
85383-5425
US

V. Phone/Fax

Practice location:
  • Phone: 559-284-8623
  • Fax:
Mailing address:
  • Phone: 559-284-8623
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberA43625
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number19317
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: