Active NPI
Tucker Bierbaum, M.D.
- Emergency Medicine Physician
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- G54985
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| G54985 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Francisco Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| Chase Dennis Emergency Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | 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
- 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.
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1134110661
-
- Emergency Medicine Physician
- Santa Rosa, CA
- NPI 1033152350
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.