Provider Demographics
NPI:1851498042
Name:BIERMAN, MARTIN HENRY (MD)
Entity Type:Individual
Prefix:
First Name:MARTIN
Middle Name:HENRY
Last Name:BIERMAN
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 1:8901 W DODGE RD STE 250
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-3300
Mailing Address - Country:US
Mailing Address - Phone:402-354-2070
Mailing Address - Fax:402-354-2075
Practice Address - Street 1:8901 W DODGE RD
Practice Address - Street 2:SUITE 250
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68114
Practice Address - Country:US
Practice Address - Phone:402-354-2070
Practice Address - Fax:402-354-2075
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE12354207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE31876OtherBCBS NE
IA40612OtherBCBS IA
IAP00673784OtherRAILROAD MEDICARE
IA0900290Medicaid
NE390004842OtherRAILROAD MEDICARE
IA0900290Medicaid
IA40612OtherBCBS IA
IAP00673784OtherRAILROAD MEDICARE
NENA1910004Medicare PIN