Provider Demographics
NPI:1689698813
Name:BIERMAN-DEAR, NANCY A (MD)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:A
Last Name:BIERMAN-DEAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:DEAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:5000 COX RD
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23060-9263
Mailing Address - Country:US
Mailing Address - Phone:804-968-5700
Mailing Address - Fax:
Practice Address - Street 1:630 MANTUA PIKE
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:NJ
Practice Address - Zip Code:08096-3233
Practice Address - Country:US
Practice Address - Phone:856-812-2220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0089814207Q00000X
VA0101270230207Q00000X
NJ25MA05361400207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
0513488000OtherAMERIHEALTH HMO
NJK4942OtherHORIZON
NJ679434OtherAMERIHEALTH PPO
NJ4581407Medicaid
NJ1156257OtherHORIZON MERCY
NJ221820210OtherUNITED HEALTHCARE
NJ01000218301OtherAMERICHOICE
NJ1K9950OtherHEALTH NET
NJ221820210OtherATLANTICARE HMO/PPO
3217OtherAETNA
NJ4581407Medicaid
NJ679434C35Medicare PIN
NJ221820210OtherATLANTICARE HMO/PPO