The Vein Clinic at Unasource, P.L.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

THE VEIN CLINIC AT UNASOURCE, P.L.C.

Practice address

4550 Investment Drive
Suite 270
Troy, MI 48098-6362

Phone

(248) 267-5015

Fax

(248) 267-5016

NPI assigned

Mar 20, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Timothy A Bierema, M.D.

Title

Owner

Phone

(248) 267-5015

Specialties & licenses 2

Addresses

Other identifiers 1

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1841461548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4550 INVESTMENT DRIVE",
            "address_2": "SUITE 270",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986362",
            "telephone_number": "248-267-5015",
            "fax_number": "248-267-5016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4550 INVESTMENT DRIVE",
            "address_2": "SUITE 270",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986362",
            "telephone_number": "248-267-5015",
            "fax_number": "248-267-5016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VEIN CLINIC AT UNASOURCE, P.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "BIEREMA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "248-267-5015",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF MI",
            "identifier": "020F355860",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in Troy, MI
• Providers in Troy, MI by specialty
• Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; 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.