Provider Demographics
NPI:1336146547
Name:BIEBERLY, JOSEPH EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:EDWARD
Last Name:BIEBERLY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:630 ONEEGA LN
Mailing Address - Street 2:STE A
Mailing Address - City:ERWIN
Mailing Address - State:TN
Mailing Address - Zip Code:37650-2199
Mailing Address - Country:US
Mailing Address - Phone:423-743-4777
Mailing Address - Fax:423-743-3215
Practice Address - Street 1:630 ONEEGA LN
Practice Address - Street 2:STE A
Practice Address - City:ERWIN
Practice Address - State:TN
Practice Address - Zip Code:37650-2199
Practice Address - Country:US
Practice Address - Phone:423-743-4777
Practice Address - Fax:423-743-3215
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-01
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TN12505207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B04048Medicare UPIN