Healthcare Provider Details

I. General information

NPI: 1851498042
Provider Name (Legal Business Name): MARTIN HENRY BIERMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 08/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 W DODGE RD SUITE 250
OMAHA NE
68114
US

IV. Provider business mailing address

8901 W DODGE RD STE 250
OMAHA NE
68114-3300
US

V. Phone/Fax

Practice location:
  • Phone: 402-354-2070
  • Fax: 402-354-2075
Mailing address:
  • Phone: 402-354-2070
  • Fax: 402-354-2075

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number12354
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: