Individual provider Active NPI

Jennifer Biermann, PA-C

  • Physician Assistant
  • Chapel Hill, NC
National Provider Identifier
1407960701
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
102828 Issued in NC
Practice address
1765 Dobbins Dr
Chapel Hill, NC 27514-5876
Phone
(919) 929-5402
Fax
(919) 933-5271
NPI assigned
Aug 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 102828 NC Primary

Addresses

Primary practice location

1765 Dobbins Dr
Chapel Hill, NC 27514-5876

Mailing address

1765 Dobbins Dr
Chapel Hill, NC 27514-5876
Phone (919) 942-7762

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
102828NCMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1407960701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1765 DOBBINS DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145876",
            "telephone_number": "919-942-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1765 DOBBINS DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275145876",
            "telephone_number": "919-929-5402",
            "fax_number": "919-933-5271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERMANN",
        "first_name": "JENNIFER",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-17",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2012; 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.