Provider Demographics
NPI:1558961698
Name:BIERKORTTE PSYCHIATRIC PLLC
Entity Type:Organization
Organization Name:BIERKORTTE PSYCHIATRIC PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BIERKORTTE
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:941-266-3860
Mailing Address - Street 1:1001 E ELFINWILD RD
Mailing Address - Street 2:
Mailing Address - City:ALLISON PARK
Mailing Address - State:PA
Mailing Address - Zip Code:15101-3912
Mailing Address - Country:US
Mailing Address - Phone:941-266-3860
Mailing Address - Fax:
Practice Address - Street 1:1001 E ELFINWILD RD
Practice Address - Street 2:
Practice Address - City:ALLISON PARK
Practice Address - State:PA
Practice Address - Zip Code:15101-3912
Practice Address - Country:US
Practice Address - Phone:941-266-3860
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-28
Last Update Date:2020-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty