Active NPI
Mark Bieri, M.D.
- Urology Physician
- Las Cruces, NM
National Provider Identifier
1063410116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 98-13
- Practice address
- 2545 S Don Roser Dr
Las Cruces, NM 88011-9107 - Phone
- (575) 522-7880
- Fax
- (575) 522-7226
- NPI assigned
- Jul 12, 2005
- Reactivated
- Apr 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 98-13 | NM | Primary |
Addresses
Primary practice location
2545 S Don Roser Dr
Las Cruces, NM 88011-9107
Mailing address
2545 S Don Roser Dr
Las Cruces, NM 88011-9107
Phone (575) 522-7880
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 94071861 | Medicaid | NM | |
| NM004961 | Other | NM | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98-13 | NM | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert C Kolosseus MD PC | Urology | Past | Accepting new patients |
| Joseph a Caplan MD PC | Past | Accepting new patients | |
| Mark Bieri MD PC | Urology | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urology Physician
- Las Cruces, NM
- NPI 1417054792
-
- Urology Physician
- Las Cruces, NM
- NPI 1013951722
-
dba Cardiac Solutions
- Cardiovascular Disease Physician
- Peoria, AZ
- NPI 1649389156
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372723200000",
"number": "1063410116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2545 S DON ROSER DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880119107",
"telephone_number": "575-522-7880",
"fax_number": "575-522-7226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2545 S DON ROSER DR",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880119107",
"telephone_number": "575-522-7880",
"fax_number": "575-522-7226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIERI",
"first_name": "MARK",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-12",
"last_updated": "2013-07-02",
"deactivation_date": "2006-03-16",
"reactivation_date": "2006-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NM",
"license": "98-13",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "94071861",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "NM004961",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.