Active NPI
Patrick L Bierbower, OD
- Optometrist
- Kearney, NE
National Provider Identifier
1811054083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 997
- Practice address
- 4107 7TH Ave
Kearney, NE 68845-1312 - Phone
- (308) 236-8500
- Fax
- (308) 236-8500
- NPI assigned
- Jan 3, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 997 | NE | Primary |
Addresses
Primary practice location
4107 7TH Ave
Kearney, NE 68845-1312
Mailing address
4107 7TH Ave
Kearney, NE 68845-1312
Phone (308) 236-8500
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 997 | NE | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1308096000000",
"number": "1811054083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4107 7TH AVE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688451312",
"telephone_number": "308-236-8500",
"fax_number": "308-236-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4107 7TH AVE",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688451312",
"telephone_number": "308-236-8500",
"fax_number": "308-236-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIERBOWER",
"first_name": "PATRICK",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-03",
"last_updated": "2011-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NE",
"license": "997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kearney, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.