Provider Demographics
NPI:1518043959
Name:BIERER, CRAIG L (DO)
Entity Type:Individual
Prefix:
First Name:CRAIG
Middle Name:L
Last Name:BIERER
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 N LOCUST ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:OXFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45056-1192
Mailing Address - Country:US
Mailing Address - Phone:513-523-2663
Mailing Address - Fax:513-523-6968
Practice Address - Street 1:10 N LOCUST ST
Practice Address - Street 2:SUITE B
Practice Address - City:OXFORD
Practice Address - State:OH
Practice Address - Zip Code:45056-1192
Practice Address - Country:US
Practice Address - Phone:513-523-2663
Practice Address - Fax:513-523-6968
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2023-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34.008396207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2699629Medicaid