Individual provider Active NPI

Robert Biernbaum, DO

  • Emergency Medicine Physician
  • Fairport, NY
National Provider Identifier
1467488338
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
224251 Issued in NY
Practice address
18 Courtney Dr
Fairport, NY 14450-3338
Phone
(585) 421-7537
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 224251 NY
Emergency Medicine Physician 207P00000X 036158913 IL
Emergency Medicine Physician 207P00000X 224251 NY Primary

Addresses

Primary practice location

18 Courtney Dr
Fairport, NY 14450-3338

Mailing address

38 Walling St
Victor, NY 14564-1357
Phone (585) 430-8600

Other identifiers 2

IdentifierTypeStateIssuer
02355484MedicaidNY
224251-9W OPEMOtherNYWORKER'S COMPENSATION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MI, OH, IL, IN, PA6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20040923000411 NY Practitioner - Emergency Medicine 9931196946 Reassigns benefits to 4 organizations
I20211013001535 MI Practitioner - Emergency MedicinePractitioner - Osteopathic Manipulative Medicine 9931196946 Reassigns benefits to 2 organizations
I20211019002650 OH Practitioner - Osteopathic Manipulative Medicine 9931196946 Reassigns benefits to 1 organization
I20211214002235 IL Practitioner - Emergency Medicine 9931196946 Reassigns benefits to 5 organizations
I20221028002041 IN Practitioner - Emergency Medicine 9931196946 Reassigns benefits to 1 organization
I20230323002039 PA Practitioner - Emergency Medicine 9931196946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of New England, College of Osteo Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellnow Urgent Care, P.C.Group PAC ID 8325320864, 395 clinicians
Pic Indiana PCGroup PAC ID 3476790239, 143 clinicians
Physicians Immediate Care North Chicago LLCGroup PAC ID 8729064159, 256 clinicians

Practice addresses (Care Compare)

13448 Cicero Ave
Crestwood, IL 60418-1430
Phone (708) 682-3384

18 Courtney Dr
Fairport, NY 14450-3338
Phone (585) 421-7537

26 Bolivar Dr
Bradford, PA 16701-3125
Phone (814) 817-4690

3570 N US 31
Traverse City, MI 49684-4542
Phone (231) 486-2573

4800 W 129TH St
Alsip, IL 60803-3016
Phone (708) 377-2169

630 Birk Rd
Martinsville, IN 46151-6534
Phone (765) 341-2091

Hospital & facility affiliations

  • Lawrence County Memorial Hospital Hospital, Lawrenceville, IL, CCN 141344

Merit-based Incentive Payment System (MIPS)

Final score
75.68 of 100Reported as group
Quality
48.88
Promoting interoperability
91
Improvement activities
40
Cost
71.94

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036158913ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Integritas Emergency Physician Services, LLC Emergency Medicine CurrentSince Oct 1, 2025 Accepting new patients
Pic Indiana PC CurrentSince Nov 1, 2022 Accepting new patients
Hometown Urgent Care of Michigan, P.C. Current Accepting new patients
Lawrence County Memorial Hospital Current Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince May 23, 2023 Accepting new patients
Auburn Community Hospital CurrentSince May 23, 2023 Accepting new patients
Lawrence County Memorial Hospital CurrentSince Jun 20, 2024 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince May 23, 2023 Accepting new patients
Associated Pathologists, LLC Current Accepting new patients
Lawrence County Memorial Hospital CurrentSince Jun 20, 2024 Accepting new patients
Auburn Community Hospital CurrentSince May 23, 2023 Accepting new patients
Physicians Immediate Care North Chicago LLC CurrentSince Jul 1, 2023 Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Stat Care PC Past Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Wellnow Urgent Care Practice, PC Past Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Pic Indiana PC Past Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Ny Primary Care Practice PC PastSince Dec 31, 2022 Accepting new patients
Ny Urgent Care Practice, PC Past Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Wellnow Urgent Care, PC Emergency Medicine Past Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Wellnow Urgent Care, PC Emergency Medicine Past Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Ny Primary Care Practice, PC Past Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Statcare PC Emergency Medicine Past Accepting new patients
Wellnow Urgent Care, P.C. Past Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Wellnow Urgent Care, PC Past Accepting new patients
Wellnow Urgent Care, P.C. Past Accepting new patients

Locations (25 of 27)

517 N Main St
Anna, IL 62906
Phone (618) 833-2295

1663 Belvidere Rd
Belvidere, IL 61008
Phone (815) 544-0040

2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691

4211 N Cicero Ave
Chicago, IL 60641
Phone (773) 794-1000

6140 N Broadway St
Chicago, IL 60660
Phone (224) 795-3521

13448 Cicero Ave
Crestwood, IL 60418
Phone (708) 682-3384

2200 State St
Lawrenceville, IL 62439
Phone (618) 943-1000

4800 W 129th St
Merrionette Park, IL 60803
Phone (708) 377-2169

3800 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 203-2051

123 S Franklin Rd
Bloomington, IN 47404
Phone (812) 339-2305

3019 N National Rd
Columbus, IN 47201
Phone (812) 314-7617

1124 S 13th St
Decatur, IN 46733
Phone (260) 706-5039

900 Johnson St
#A
Elkhart, IN 46514

924 W Pike St
Goshen, IN 46526
Phone (574) 312-7056

4903 S Emerson Ave
Indianapolis, IN 46203
Phone (317) 352-5582

1010 S Reed Rd
Kokomo, IN 46901
Phone (765) 252-2176

102 Sagamore Pkwy S
Lafayette, IN 47905
Phone (765) 237-3224

630 Birk Rd
Martinsville, IN 46151
Phone (765) 341-2091

505 W Cleveland Rd
Mishawaka, IN 46545
Phone (574) 235-3135

1245 E Ireland Rd
#B
South Bend, IN 46614
Phone (574) 312-7022

2680 Escalade Way
Warsaw, IN 46582
Phone (574) 306-4128

1131 M 32 W
Alpena, MI 49707
Phone (989) 250-1925

1634 Gull Rd
Kalamazoo, MI 49048
Phone (269) 903-2835

3570 N US 31 S
Traverse City, MI 49684
Phone (231) 486-2573

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

Organizations & group practices 44

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.

View all 44

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1467488338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38 WALLING ST",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641357",
            "telephone_number": "585-430-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 COURTNEY DR",
            "city": "FAIRPORT",
            "state": "NY",
            "postal_code": "144503338",
            "telephone_number": "585-421-7537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERNBAUM",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "224251",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036158913",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "224251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02355484",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKER'S COMPENSATION",
            "identifier": "224251-9W  OPEM",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairport, NY

Sources for this page

Verify at the official NPI Registry.