=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699915108
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | STEVEN FOX BIERMAN M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/23/2009
-----------------------------------------------------
Last Update Date | 08/27/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 143 8TH ST
-----------------------------------------------------
City | DEL MAR
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92014-2712
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 858-259-8333
-----------------------------------------------------
Fax | 858-259-5298
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 143 8TH ST
-----------------------------------------------------
City | DEL MAR
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92014-2712
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 858-259-8333
-----------------------------------------------------
Fax | 858-259-5298
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101Y00000X
-----------------------------------------------------
Taxonomy Name | Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 208D00000X
-----------------------------------------------------
Taxonomy Name | General Practice Physician
-----------------------------------------------------
License Number | G34512
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------