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1831193515

NPI Code Detail

MEDICARE: DR. JOHN ROBERT BIERLY MD

MEDICARE: DR. JOHN ROBERT BIERLY 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	207W00000X	Ophthalmology Physician	G70314	CA
2	207W00000X	Ophthalmology Physician	29092	KY
3	207W00000X	Ophthalmology Physician	047881	GA
4	207W00000X	Ophthalmology Physician	MD0000031971	TN

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
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831193515
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN ROBERT BIERLY MD

Provider Business Mailing Address
First Line	:	7268 JARNIGAN RD
Second Line	:	SUITE 200
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-3097
Country	:	US
Telephone Number	:	423-508-7337
Fax Number	:	423-508-7338

Provider Business Practice Location Address
First Line	:	7268 JARNIGAN RD
Second Line	:	SUITE 200
City	:	CHATTANOOGA
State	:	TN
Zip	:	37421-3097
Country	:	US
Telephone Number	:	423-508-7337
Fax Number	:	423-508-7338

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	04/28/2020

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Directions to “ DR. JOHN ROBERT BIERLY MD” Practice Location

Language	Start Address	Practice Location

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