{
"Npi": {
"NPI": "1750334108",
"EntityType": "Individual",
"ReplacementNPI": null,
"EIN": null,
"IsSoleProprietor": "N",
"IsOrgSubpart": null,
"ParentOrgLBN": null,
"ParentOrgTIN": null,
"OrgName": null,
"LastName": "BIERFELDT",
"FirstName": "INGRID",
"MiddleName": "EERDMANS",
"NamePrefix": "MRS.",
"NameSuffix": null,
"Credential": "M.D.",
"OtherOrgName": null,
"OtherOrgNameTypeCode": null,
"OtherLastName": "EERDMANS",
"OtherFirstName": "INGRID",
"OtherMiddleName": null,
"OtherNamePrefix": null,
"OtherNameSuffix": null,
"OtherCredential": "M.D.",
"OtherLastNameTypeCode": "2",
"FirstLineMailingAddress": "9511 WESTVIEW DR SE",
"SecondLineMailingAddress": null,
"MailingAddressCityName": "BYRON CENTER",
"MailingAddressStateName": "MI",
"MailingAddressPostalCode": "49315-9324",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "616-877-0129",
"MailingAddressFaxNumber": null,
"FirstLinePracticeLocationAddress": "9511 WESTVIEW DR SE",
"SecondLinePracticeLocationAddress": null,
"PracticeLocationAddressCityName": "BYRON CENTER",
"PracticeLocationAddressStateName": "MI",
"PracticeLocationAddressPostalCode": "49315-9324",
"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "616-877-0129",
"PracticeLocationAddressFaxNumber": null,
"EnumerationDate": "05/18/2006",
"LastUpdateDate": "12/20/2019",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": "F",
"Gender": "Female",
"AuthorizedOfficialLastName": null,
"AuthorizedOfficialFirstName": null,
"AuthorizedOfficialMiddleName": null,
"AuthorizedOfficialTitle": null,
"AuthorizedOfficialNamePrefix": null,
"AuthorizedOfficialNameSuffix": null,
"AuthorizedOfficialCredential": null,
"AuthorizedOfficialTelephoneNumber": null,
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "2084P0800X",
"TaxonomyName": "Psychiatry Physician",
"LicenseNumber": "4301050361",
"LicenseNumberStateCode": "MI",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": null
}
}