Joseph E. Bieberly, MD

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

MD12505 Issued in TN

Legal business name

JOSEPH E. BIEBERLY, MD

Practice address

3101 Browns Mill Rd PMB 386
Suite 6
Johnson City, TN 37604-4100

Phone

(423) 854-0001

Fax

(423) 854-0002

NPI assigned

May 22, 2007

Organization subpart

No

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

Authorized official

Name

Joseph E Bieberly, MD

Title

Owner

Phone

(423) 854-0001

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114136546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 ONEEGA LN",
            "address_2": "SUITE A",
            "city": "ERWIN",
            "state": "TN",
            "postal_code": "376502197",
            "telephone_number": "423-854-0001",
            "fax_number": "423-854-0002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 BROWNS MILL RD PMB 386",
            "address_2": "SUITE 6",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376044100",
            "telephone_number": "423-854-0001",
            "fax_number": "423-854-0002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH E. BIEBERLY, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIEBERLY",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "423-854-0001",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "TN",
            "license": "MD12505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3182898",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Warren L Jones, CRNA
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• Marissa Jordan, LPC
• Richard M Jordan, MD
• James Allen Joslyn, MD
• Ryan Kara Judson, NP
• Jennifer D Judy, PMHNP-BC
• Juhn and Stark LLC
• Brooke Julian

• Legal Medicine in Johnson City, TN
• Providers in Johnson City, TN by specialty
• Legal Medicine in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.