Provider Demographics
NPI:1114945847
Name:BIER, DENNIS E (MD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:E
Last Name:BIER
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 1:820 4TH ST N
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58122-0001
Mailing Address - Country:US
Mailing Address - Phone:701-234-6161
Mailing Address - Fax:701-234-5718
Practice Address - Street 1:820 4TH ST N
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58122-0001
Practice Address - Country:US
Practice Address - Phone:701-234-6161
Practice Address - Fax:701-234-5718
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN339632085R0001X
ND75852085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND18904Medicaid
ND18904Medicaid
NDN14303Medicare PIN
MN920000250Medicare PIN
MN920000467Medicare PIN
E57877Medicare UPIN