Bierman Century City Derm

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

A19760 Issued in CA

Legal business name

BIERMAN CENTURY CITY DERM

Doing business as

Bierman Century City Dermatology Medical Group Inc

Practice address

2080 Century Park E
Suite 1008
Los Angeles, CA 90067-2001

Phone

(310) 553-3567

Fax

(310) 553-4538

NPI assigned

Sep 8, 2005

Last updated

May 21, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Stanley Melvin Bierman, MD

Title

President

Phone

(310) 553-3567

Specialties & licenses 1

Addresses

Other names 1

• Bierman Century City Dermatology Medical Group Inc Doing business as

Locations

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1174517890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "SUITE 1008",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-553-3567",
            "fax_number": "310-553-4538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 CENTURY PARK E",
            "address_2": "SUITE 1008",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900672001",
            "telephone_number": "310-553-3567",
            "fax_number": "310-553-4538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIERMAN CENTURY CITY DERM",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-08",
        "last_updated": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "BIERMAN",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_middle_name": "MELVIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-553-3567",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A19760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bierman Century City Dermatology Medical Group Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.