MEDICARE: DR. JONATHAN A BIELFIELD DO

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	207N00000X	Dermatology Physician	S8528	TX

General Provider Information

NPI Number	:	1578684056
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JONATHAN A BIELFIELD DO

Provider Business Mailing Address
First Line	:	1500 W 34TH ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78703-1433
Country	:	US
Telephone Number	:	512-485-7700
Fax Number	:	512-485-7702

Provider Business Practice Location Address
First Line	:	1500 W 34TH ST
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78703-1433
Country	:	US
Telephone Number	:	512-485-7700
Fax Number	:	512-485-7702

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	12/09/2020

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Directions to “ DR. JONATHAN A BIELFIELD DO” Practice Location

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