Provider Demographics
NPI:1093344533
Name:GERSHMAN, BIANA GABRIELLE (DO)
Entity Type:Individual
Prefix:
First Name:BIANA
Middle Name:GABRIELLE
Last Name:GERSHMAN
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:BIANA
Other - Middle Name:GABRIELLE
Other - Last Name:DORFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:1411 S POTOMAC ST STE 300
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012-4539
Mailing Address - Country:US
Mailing Address - Phone:303-531-4910
Mailing Address - Fax:
Practice Address - Street 1:1411 S POTOMAC ST STE 300
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80012-4539
Practice Address - Country:US
Practice Address - Phone:303-531-4910
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0067295207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine