Individual provider Active NPI

Matthew Brian Bierwirth, M.D.

  • Pediatrics Physician
  • Waco, TX
National Provider Identifier
1750340568
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J6876 Issued in TX
Practice address
2201 Macarthur Dr Ste 103
Waco, TX 76708
Phone
(254) 313-5300
Fax
(254) 724-7603
NPI assigned
Mar 21, 2006
Last updated
Apr 21, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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 J6876 TX Primary

Addresses

Primary practice location

2201 Macarthur Dr Ste 103
Waco, TX 76708

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111

Other practice location 1

7700 Fish Pond Rd
Waco, TX 76710-1031
Phone (254) 741-4444

Other identifiers 1

IdentifierTypeStateIssuer
82335BOtherTXBLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mbierwirth14037@direct.sw.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20091124000529 TX Practitioner - Pediatric Medicine 3577602986 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Scott & White Clinic Pediatrics CurrentSince Oct 11, 2009 Accepting new patients
Heart of Texas Community Health Center, Inc CurrentSince May 26, 2018 Accepting new patients
Heart of Texas Community Health Center Inc Current Accepting new patients
Scott & White Clinic Pediatrics CurrentSince Oct 11, 2009 Accepting new patients
Heart of Texas Community Health Center, Inc. CurrentSince May 26, 2018 Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients
Hillcrest Baptist Medical Center Past Accepting new patients

Locations

101 Lafferty Ave
Cameron, TX 76520
Phone (254) 605-1100

2401 S 31st St
Temple, TX 76508
Phone (254) 724-2459

1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

2201 MacArthur Dr
Ste 103
Waco, TX 76708
Phone (254) 202-6100

7700 Fish Pond Rd
Waco, TX 76710
Phone (254) 741-4444

Interoperability endpoints

  • Direct secure messaging: mbierwirth14037@direct.sw.org

Organizations & group practices 7

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587427200000",
    "number": "1750340568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 MACARTHUR DR STE 103",
            "city": "WACO",
            "state": "TX",
            "postal_code": "76708",
            "telephone_number": "254-313-5300",
            "fax_number": "254-724-7603"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7700 Fish Pond Rd",
            "address_purpose": "LOCATION",
            "city": "Waco",
            "state": "TX",
            "postal_code": "767101031",
            "country_code": "US",
            "telephone_number": "254-741-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIERWIRTH",
        "first_name": "MATTHEW",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J6876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "82335B",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mbierwirth14037@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2201 MacArthur Dr Ste 103",
            "city": "Waco",
            "state": "TX",
            "country_code": "US",
            "postal_code": "76708",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.