Bonnie Brianna Rose Bierbaum, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

085008831 Issued in IL

Practice address

1649 N Pulaski Rd
Chicago, IL 60639-5207

Phone

(773) 278-6868

NPI assigned

Feb 3, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Primecare Community Health, Inc.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1558532739
  Medicare reassignment
• Primecare Community Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1225010911
  NPD
• Primecare Community Health, Inc.

  dba PrimeCare Hamlin

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1356622500
  NPD (past)
• Primecare Community Health, Inc.

  dba PrimeCare Northwest

  • Federally Qualified Health Center (FQHC)
  • Chicago, IL
  • NPI 1730235870
  NPD (past)

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

{
    "created_epoch": "1643846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1831842343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1649 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606395207",
            "telephone_number": "737-278-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1649 N PULASKI RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606395207",
            "telephone_number": "773-278-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERBAUM",
        "first_name": "BONNIE BRIANNA",
        "middle_name": "ROSE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-03",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085008831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bienestar Pharmacy III, Inc
• Benjamin Bienia, MD
• Kathleen Lacci Bienia, PA-C, MMSC
• Andre Bieniarz, M.D.
• Sarah Bier, CNM
• Chloe Bierbower
• Jacqueline Marie Biere, LCSW
• Jennifer Bierman, MD
• Gary R. Biermann, M.D.
• Elizabeth S Biermeier-Hanson

• Physician Assistant in Chicago, IL
• Providers in Chicago, IL by specialty
• Physician Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2024; 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.