Kirt Eugene Bierig, D.O.
Individual provider Active NPI Family Medicine Physician · Okeene, OK
NPI 1316979768 · NPPES record last updated Nov 17, 2020
Key facts
- NPI
- 1316979768
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2013 (OK)
- Practice address
- 124 N 6TH St
Okeene, OK 73763-9135 - Phone
- (580) 822-4404
- Fax
- (580) 822-4403
- NPI assigned
- Jul 7, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040514000032 | OK | Practitioner - Family Practice | 4587654306 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013 | OK | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Okeene Municipal Hospital and Schallmo Authority | Current |
Accepting new patients | |
| Okeene Municipal Hospital and Schallmo Authority | Current |
Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients | |
| Alva Hospital Authority/Dba Share Medical Center | Past | Accepting new patients |
Locations
207 E F St
Okeene, OK 73763
Phone (580) 822-4321
124 N 6th St
Okeene, OK 73763
Phone (580) 822-4404
Interoperability endpoints
- kbierig69360@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2013 | OK | Yes |
Addresses
Primary practice location
124 N 6TH St
Okeene, OK 73763-9135
Mailing address
PO Box 389
Okeene, OK 73763-0389
Phone (580) 822-4404
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100700250D | Medicaid | OK | |
| 100094160 B | Medicaid | OK | |
| 100736170 A | Medicaid | OK |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kbierig69360@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Other providers in Okeene, OK
All providers in Okeene, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 17, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.