Individual provider Active NPI

Herminia Perez Bierema, MD

  • Pediatrics Physician
  • Rochester Hills, MI
National Provider Identifier
1417957945
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301048948 Issued in MI
Practice address
1000 W University Dr Ste 207
Rochester Hills, MI 48307-1875
Phone
(248) 656-3440
Fax
(248) 656-8504
NPI assigned
Jul 27, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301048948 MI Primary

Addresses

Primary practice location

1000 W University Dr Ste 207
Rochester Hills, MI 48307-1875

Mailing address

1000 W University Dr Ste 207
Rochester Hills, MI 48307-1875
Phone (248) 656-3440

Other identifiers 3

IdentifierTypeStateIssuer
350F314530OtherMIBCBS OF MI
P49945OtherMIBCN
3328665MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20260530000036 MI Practitioner - Pediatric Medicine 8628548658

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Michigan State University College of Human Medicine, 1984
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15855 19 Mile Rd
Clinton Township, MI 48038-6324

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301048948MIMDPediatrics Physician

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1417957945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W UNIVERSITY DR STE 207",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483071875",
            "telephone_number": "248-656-3440",
            "fax_number": "248-656-8504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W UNIVERSITY DR STE 207",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483071875",
            "telephone_number": "248-656-3440",
            "fax_number": "248-656-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIEREMA",
        "first_name": "HERMINIA",
        "middle_name": "PEREZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301048948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MI",
            "identifier": "350F314530",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCN",
            "identifier": "P49945",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3328665",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.