MEDICARE: BERNARD JOSEPH BIERMANN 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	2084P0800X	Psychiatry Physician	4301093213	MI
2	2084P0800X	Psychiatry Physician	35059	IA
3	2084P0804X	Child & Adolescent Psychiatry Physician	4301093213	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

General Provider Information

NPI Number	:	1205820230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BERNARD JOSEPH BIERMANN MD

Provider Business Mailing Address
First Line	:	3621 S STATE ST
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48108-1633
Country	:	US
Telephone Number	:	734-647-5299
Fax Number	:

Provider Business Practice Location Address
First Line	:	4250 PLYMOUTH RD
Second Line	:
City	:	ANN ARBOR
State	:	MI
Zip	:	48109-2700
Country	:	US
Telephone Number	:	734-764-6443
Fax Number	:

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

Provider Enumeration Date	:	09/06/2005
Last Update Date	:	11/19/2019

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