Individual provider Active NPI

Jeffrey Allen Bierman, DMD

  • Dentist
  • Sherman, IL
National Provider Identifier
1780878710
Registry record updated Mar 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019017404 Issued in IL
Practice address
2515 E Andrew Rd
Sherman, IL 62684-9642
Phone
(217) 496-2301
Fax
(217) 496-2298
NPI assigned
Sep 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019017404 IL Primary

Addresses

Primary practice location

2515 E Andrew Rd
Sherman, IL 62684-9642

Mailing address

2515 E Andrew Rd
Sherman, IL 62684-9642
Phone (217) 496-2301

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

State licenses

LicenseStateTypeSpecialty
019017404ILMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1188777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298937600000",
    "number": "1780878710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 E ANDREW RD",
            "city": "SHERMAN",
            "state": "IL",
            "postal_code": "626849642",
            "telephone_number": "217-496-2301",
            "fax_number": "217-496-2298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 E ANDREW RD",
            "city": "SHERMAN",
            "state": "IL",
            "postal_code": "626849642",
            "telephone_number": "217-496-2301",
            "fax_number": "217-496-2298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERMAN",
        "first_name": "JEFFREY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-03",
        "last_updated": "2011-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019017404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.

Verify at the official NPI Registry.