Provider Demographics
NPI:1699915108
Name:BIERMAN, STEVEN FOX (MD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:FOX
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 1:143 8TH ST
Mailing Address - Street 2:
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-2712
Mailing Address - Country:US
Mailing Address - Phone:858-259-8333
Mailing Address - Fax:858-259-5298
Practice Address - Street 1:143 8TH ST
Practice Address - Street 2:
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-2712
Practice Address - Country:US
Practice Address - Phone:858-259-8333
Practice Address - Fax:858-259-5298
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-23
Last Update Date:2015-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X, 101YM0800X
CAG34512208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health