Active NPI
Mary D Bierbrauer, RN
- Diabetes Educator Registered Nurse
- Amherst, NY
National Provider Identifier
1578852786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 415468-1
- Practice address
- 3980 Sheridan Dr
6TH FL
Amherst, NY 14226-1727 - Phone
- (716) 882-6544
- Fax
- (716) 882-6833
- NPI assigned
- Mar 29, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 415468-1 | NY | Primary |
Addresses
Primary practice location
3980 Sheridan Dr
6TH FL
Amherst, NY 14226-1727
Mailing address
77 Goodell St
Suite 320
Buffalo, NY 14203-1243
Phone (716) 816-7200
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578852786 | Other | NY | BLUE CROSS |
| 6516597 | Other | NY | INDEPENDENT HEALTH |
| 03338869 | Medicaid | NY |
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 415468-1 | NY | MD | Diabetes Educator Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Academic Medicine Services, Inc. | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Williamsville, NY
- NPI 1255394763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1578852786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 GOODELL ST",
"address_2": "SUITE 320",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031243",
"telephone_number": "716-816-7200",
"fax_number": "716-852-0760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3980 SHERIDAN DR",
"address_2": "6TH FL",
"city": "AMHERST",
"state": "NY",
"postal_code": "142261727",
"telephone_number": "716-882-6544",
"fax_number": "716-882-6833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIERBRAUER",
"first_name": "MARY",
"middle_name": "D",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-29",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "NY",
"license": "415468-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "1578852786",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENT HEALTH",
"identifier": "6516597",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03338869",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.