Mary E Bienemann, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

44840 Issued in WI

Practice address

1120 Main St
Union Grove, WI 53182-1328

Phone

(262) 878-4424

Fax

(262) 687-8591

NPI assigned

Jun 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mbienemann45164@direct.myadvocateaurora.org

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.

• Aurora Medical Group, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Union Grove, WI
  • NPI 1245440601
  NPD (past)

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637625600000",
    "number": "1487680179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 MAIN ST",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531821328",
            "telephone_number": "262-878-4424",
            "fax_number": "262-687-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 MAIN ST",
            "city": "UNION GROVE",
            "state": "WI",
            "postal_code": "531821328",
            "telephone_number": "262-878-4424",
            "fax_number": "262-687-8591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENEMANN",
        "first_name": "MARY",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2021-11-23",
        "certification_date": "2021-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "44840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbienemann45164@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1120 Main St",
            "city": "Union Grove",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531821328",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "1120 Main St",
            "city": "Union Grove",
            "state": "WI",
            "country_code": "US",
            "postal_code": "531821328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Margaret E Baker, PA-C
• Balance of Mind Counseling and Behavioral Services
• Savana Bell
• Aileen Benjakul, MD
• Angela Ellen Beumel, PSYD
• Abigail Bird
• Lauren Jean Bostanche, DDS
• Valerie Buisse, MS, LPC
• Lana R. Buttke, NP
• Brandon Kevin Caldwell

• Family Medicine Physician in Union Grove, WI
• Providers in Union Grove, WI by specialty
• Family Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; 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.