Provider Demographics
NPI:1528119526
Name:BIEREMA AND BROWNING, M.D. P.C.
Entity type:Organization
Organization Name:BIEREMA AND BROWNING, M.D. P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:A
Authorized Official - Last Name:BIEREMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-267-5015
Mailing Address - Street 1:4550 INVESTMENT DR
Mailing Address - Street 2:STE. 270
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48098-6363
Mailing Address - Country:US
Mailing Address - Phone:248-267-5015
Mailing Address - Fax:248-267-5016
Practice Address - Street 1:4550 INVESTMENT DR
Practice Address - Street 2:STE. 270
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48098-6363
Practice Address - Country:US
Practice Address - Phone:248-267-5015
Practice Address - Fax:248-267-5016
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2779367Medicaid
MI3438756Medicaid
MIA74136Medicare UPIN
MI2779367Medicaid
MIN97270001Medicare ID - Type UnspecifiedTIMOTHY A. BIEREMA
MIN97270002Medicare ID - Type UnspecifiedDANIEL P. BROWNING