Benjamin E. Bierbaum, M.D.

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

28492 Issued in MA

Practice address

830 Boylston St
Suite 106
Chestnut Hill, MA 02467-2503

Phone

(617) 277-1205

Fax

(617) 232-6528

NPI assigned

Apr 28, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Longwood Orthopedic Associates, Inc.

  • Orthopaedic Surgery Physician
  • Chestnut Hill, MA
  • NPI 1609892892
  NPD (past)

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342569600000",
    "number": "1962469353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 BOYLSTON ST.",
            "address_2": "SUITE 106",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "02467",
            "telephone_number": "617-277-1205",
            "fax_number": "617-232-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 BOYLSTON ST",
            "address_2": "SUITE 106",
            "city": "CHESTNUT HILL",
            "state": "MA",
            "postal_code": "024672503",
            "telephone_number": "617-277-1205",
            "fax_number": "617-232-6528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIERBAUM",
        "first_name": "BENJAMIN",
        "middle_name": "E.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2012-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "28492",
            "primary": false
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "MA",
            "license": "28492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2098172",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cynthia Marie Berger, P.T.
• Florence Gloria Berkowitz, LICSW
• Beth Cecile Berman, LICSW
• Stephen B Bernstein, M.D.
• Beth Israel Deaconess Medical Center, Inc
• Brian Zane Bilchik, MD
• Stephanie Coldwell Bird, MD
• Cherie Cahillane Bishop, DMD
• Tracy L. Blair, M.S, CCC-A
• Molly Bloom, STUDENT

• Adult Reconstructive Orthopaedic Surgery Physician in Chestnut Hill, MA
• Providers in Chestnut Hill, MA by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.