Provider Demographics
NPI:1124086715
Name:BIERMAN, SOLOMON MARTIN (MD)
Entity type:Individual
Prefix:
First Name:SOLOMON
Middle Name:MARTIN
Last Name:BIERMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4777 US HIGHWAY 259
Mailing Address - Street 2:
Mailing Address - City:LONGVIEW
Mailing Address - State:TX
Mailing Address - Zip Code:75605-7668
Mailing Address - Country:US
Mailing Address - Phone:800-214-4906
Mailing Address - Fax:903-663-9960
Practice Address - Street 1:3500 EAST I-30
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75150
Practice Address - Country:US
Practice Address - Phone:972-698-3000
Practice Address - Fax:972-698-2030
Is Sole Proprietor?:No
Enumeration Date:2006-05-03
Last Update Date:2011-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH90172085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX119242901Medicaid
TX88R227Medicare PIN
TX300086242Medicare PIN
TX119242901Medicaid