Tiffany Christine Bierbaum, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

10778 Issued in MN

Practice address

50 Central Ave
Osseo, MN 55369-1241

Phone

(763) 587-7900

Fax

(763) 420-1901

NPI assigned

May 14, 2010

Sex

Female

Sole proprietor

No

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.

• North Clinic, PA

  • Multi-Specialty Clinic/Center
  • Brooklyn Park, MN
  • NPI 1407011760
  NPD (past)
• Community Hospital of the Monterey Peninsula

  • General Acute Care Hospital
  • Monterey, CA
  • NPI 1932197258
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: tbierbaum19351@direct.svmh.com

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 6, 2018.

{
    "created_epoch": "1273795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522972800000",
    "number": "1538487533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 CENTRAL AVE",
            "city": "OSSEO",
            "state": "MN",
            "postal_code": "553691241",
            "telephone_number": "763-587-7900",
            "fax_number": "763-420-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 CENTRAL AVE",
            "city": "OSSEO",
            "state": "MN",
            "postal_code": "553691241",
            "telephone_number": "763-587-7900",
            "fax_number": "763-420-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERBAUM",
        "first_name": "TIFFANY",
        "middle_name": "CHRISTINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-14",
        "last_updated": "2018-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MN",
            "license": "10778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Bailey, DC
• Jeffrey L Bakke, M.D.
• BCSP Holdings
• Courtney Bennett, CCC-SLP
• Jennifer Marie Berger, PA-C
• Bonita Bolsa Dba Twin Cities Natural Care Center
• Shari Branch, BCTMB
• Bright Future Counseling Services LLC
• Chloe Britzius, LICSW
• Lori Ann Brown-de Alba, M.A., LMFT

• All providers in Osseo, MN
• Medical Physician Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.