Individual provider Active NPI

Tucker Bierbaum, M.D.

  • Emergency Medicine Physician
  • Santa Rosa, CA
National Provider Identifier
1841234408
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
G54985 Issued in CA
Practice address
3883 Airway Dr Ste 120
Santa Rosa, CA 95403-1678
Phone
(707) 521-7750
Fax
(707) 573-5427
NPI assigned
Jun 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X G54985 CA Primary

Addresses

Primary practice location

3883 Airway Dr Ste 120
Santa Rosa, CA 95403-1678

Mailing address

PO Box 276950
Sacramento, CA 95827-6950
Phone (707) 521-7750

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20041208000559 CA Practitioner - Emergency Medicine 0941266225 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of California, San Francisco School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
San Francisco Emergency Medical AssociatesGroup PAC ID 5698662518, 74 clinicians

Practice addresses (Care Compare)

5176 Hill Rd E
Lakeport, CA 95453-6300
Phone (707) 262-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G54985CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Francisco Emergency Medical Associates Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
Chase Dennis Emergency Medical Group Inc Emergency Medicine CurrentSince Nov 1, 2007 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Nov 1, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Nov 1, 2024 Accepting new patients

Locations (25 of 28)

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

1450 Medical Center Dr
Rohnert Park, CA 94928
Phone (707) 546-3210

151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

601 Duboce Ave
San Francisco, CA 94117
Phone (415) 600-0600

45 Castro St
San Francisco, CA 94114
Phone (415) 241-5695

1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200

30 Mark West Springs Rd
Santa Rosa, CA 95403
Phone (707) 576-4000

3883 Airway Dr
Ste 120
Santa Rosa, CA 95403
Phone (707) 521-4495

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone (707) 525-5300

3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750

500 Doyle Park Dr
Ste 100
Santa Rosa, CA 95405
Phone (714) 449-4842

3883 Airway Dr
Santa Rosa, CA 95403
Phone (415) 751-1817

Interoperability endpoints

  • Direct secure messaging: tbierbaum216307@hisp.ehr.sutterhealth.org

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1841234408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276950",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958276950",
            "telephone_number": "707-521-7750",
            "fax_number": "707-573-5427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3883 AIRWAY DR STE 120",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954031678",
            "telephone_number": "707-521-7750",
            "fax_number": "707-573-5427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERBAUM",
        "first_name": "TUCKER",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-15",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G54985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.