Wayne D Bierbaum, M.D

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

D0038563 Issued in MD

Practice address

134 Owensville Rd
West River, MD 20778-9998

Phone

(410) 867-4700

Fax

(410) 867-4934

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Owensville Primary Care, Inc

  • Family Medicine Physician
  • West River, MD
  • NPI 1225110067

  Internal Medicine, MD

  Medicare reassignment NPD
• Owensville Primary Care,Inc

  • Federally Qualified Health Center (FQHC)
  • Lothian, MD
  • NPI 1942875026
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1215993449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3106 NEWCASTLE LN",
            "city": "RIVA",
            "state": "MD",
            "postal_code": "211401417",
            "telephone_number": "410-956-5033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 OWENSVILLE RD",
            "city": "WEST RIVER",
            "state": "MD",
            "postal_code": "207789998",
            "telephone_number": "410-867-4700",
            "fax_number": "410-867-4934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERBAUM",
        "first_name": "WAYNE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0038563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "531981100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Bischoff, IBCLC
• Heather Lynne Brown, PAC
• Nancy S Bryant, CRNP
• Amanda Court, LCPC, NCC, PHD
• Ebony Eddy, PA-C

• All providers in West River, MD
• Internal Medicine Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.