NPIMap

Individual provider Active NPI

Nancy P Bierman Birner, MD

  • Pediatrics Physician
  • Saint Louis, MO
National Provider Identifier
1043214778
Registry record updated Mar 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2015029686 Issued in MO
Practice address
12700 Southfork Rd
Ste 215
Saint Louis, MO 63128-3201
Phone
(314) 543-5244
Fax
(314) 543-5248
NPI assigned
Jun 10, 2005
Last updated
Mar 14, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2015029686 MO
Pediatrics Physician 208000000X 036-100129 IL
Pediatrics Physician 208000000X 2015029686 MO Primary

Addresses

Primary practice location

12700 Southfork Rd
Ste 215
Saint Louis, MO 63128-3201

Mailing address

12700 Southfork Rd
Ste 215
Saint Louis, MO 63128-3201
Phone (314) 543-5244

Other identifiers 2

IdentifierTypeStateIssuer
036100129MedicaidIL
156440098OtherMOMO PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031209000388 IL Practitioner - Pediatric MedicinePractitioner - Internal Medicine 0840196192 Reassigns benefits to 1 organization
I20150915001353 MO Practitioner - Pediatric MedicinePractitioner - Internal Medicine 0840196192 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Illinois, LLCGroup PAC ID 5193150621, 6 clinicians

Practice addresses (Care Compare)

1019 Valmeyer Rd
Columbia, IL 62236-4123
Phone (618) 205-7170

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions11
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-100129ILMDPediatrics Physician
2015029686MOMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Illinois, LLC Internal Medicine CurrentSince Nov 13, 2019 Accepting new patients
Mercy Clinic Specialists Services-Illinois LLC CurrentSince Feb 14, 2022 Accepting new patients
Mercy Clinic East Communities CurrentSince Jan 1, 2020 Accepting new patients
Mercy Clinic East Communities Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
DRS Pichet & Meechai Internal Medicine Past Accepting new patients
Red Bud Illinois Hospital Company, LLC Past Accepting new patients
Family Practice Associates, PC PastSince Sep 2, 2003 Accepting new patients

Locations

1019 Valmeyer Rd
Columbia, IL 62236
Phone (314) 543-5244

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

5425 Southfield Ctr
Saint Louis, MO 63123
Phone (314) 543-5258

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

9735 Landmark Parkway Dr
Ste 200
Saint Louis, MO 63127
Phone (314) 525-1887

Interoperability endpoints

  • Direct secure messaging: nbirner992396@directc.mercy.net

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489449600000",
    "number": "1043214778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD",
            "address_2": "STE 215",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283201",
            "telephone_number": "314-543-5244",
            "fax_number": "314-543-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD",
            "address_2": "STE 215",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283201",
            "telephone_number": "314-543-5244",
            "fax_number": "314-543-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRNER",
        "first_name": "NANCY",
        "middle_name": "P BIERMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2017-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2015029686",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036-100129",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2015029686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100129",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MO PTAN",
            "identifier": "156440098",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.