NPIMap

Individual provider Active NPI

Ryan Alan Bierman, DPM

  • Podiatrist
  • Covington, WA
National Provider Identifier
1164417101
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO00000712 Issued in WA
Practice address
17700 SE 272ND St
Suite 370
Covington, WA 98042-4951
Phone
(253) 631-0585
Fax
(253) 631-0596
NPI assigned
Sep 15, 2005
Last updated
Jan 6, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO00000712 WA Primary

Addresses

Primary practice location

17700 SE 272ND St
Suite 370
Covington, WA 98042-4951

Mailing address

2728 E Main Ave
Suite a
Puyallup, WA 98372-3198
Phone (253) 841-2006

Other identifiers 2

IdentifierTypeStateIssuer
8281297MedicaidWA
7109770MedicaidWA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080718000201 WA Practitioner - Podiatry 2163595596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

17700 SE 272ND St
Suite 370
Covington, WA 98042-4951
Phone (253) 631-0585

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue71
Removal of skin lesions36
Removal of nail tissue210
Removal or shaving of skin growth102

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO00000712WAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ankle & Foot Specialists of Puget Sound, PS Podiatrist CurrentSince Jan 1, 2012 Accepting new patients
Ankle & Foot Specialists of Puget Sound, PS Podiatrist Current Accepting new patients
Ankle & Foot Specialists of Puget Sound, PS Podiatrist CurrentSince Aug 1, 2008 Accepting new patients
Ankle & Foot Specialists of Puget Sound, PS Podiatrist Past Accepting new patients
Surgery Center Enumclaw Past Accepting new patients

Locations

17700 SE 272nd St
Ste 370
Covington, WA 98042
Phone (253) 631-0585

2820 Griffin Ave
Enumclaw, WA 98022
Phone (360) 802-5231

2820 Griffin Ave
Ste 101
Enumclaw, WA 98022
Phone (360) 825-2181

2820 Griffin Ave
Ste 200
Enumclaw, WA 98022
Phone (360) 825-2701

751 NE Blakely Dr
Issaquah, WA 98029
Phone (425) 313-4000

17700 SE 272nd St
#370
Kent, WA 98042
Phone (253) 631-0585

2728 E Main
Ste A
Puyallup, WA 98372
Phone (253) 841-2006

3908 10th St SE
Puyallup, WA 98374
Phone (253) 848-5951

Interoperability endpoints

  • Direct secure messaging: ryan.bierman@aafsopsp-wa.direct.office.nextgen.com

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 1

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": "1126742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1164417101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2728 E MAIN AVE",
            "address_2": "SUITE A",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983723198",
            "telephone_number": "253-841-2006",
            "fax_number": "253-840-6691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17700 SE 272ND ST",
            "address_2": "SUITE 370",
            "city": "COVINGTON",
            "state": "WA",
            "postal_code": "980424951",
            "telephone_number": "253-631-0585",
            "fax_number": "253-631-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERMAN",
        "first_name": "RYAN",
        "middle_name": "ALAN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-15",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "WA",
            "license": "PO00000712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8281297",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7109770",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covington, WA

Sources for this page

Verify at the official NPI Registry.