Provider Demographics
NPI:1891199964
Name:BIERLY, ALEXIS SUZANNE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:ALEXIS
Middle Name:SUZANNE
Last Name:BIERLY
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:ALEXIS
Other - Middle Name:SUZANNE
Other - Last Name:PATRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:99 RTE 37 WEST COMMUNITY MEDICAL CENTER
Mailing Address - Street 2:EMERGENCY DEPARTMENT
Mailing Address - City:TOMS RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08755
Mailing Address - Country:US
Mailing Address - Phone:732-557-8000
Mailing Address - Fax:
Practice Address - Street 1:99 RTE 37 WEST COMMUNITY MEDICAL CENTER
Practice Address - Street 2:EMERGENCY DEPARTMENT
Practice Address - City:TOMS RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08755
Practice Address - Country:US
Practice Address - Phone:732-557-8000
Practice Address - Fax:973-282-0562
Is Sole Proprietor?:No
Enumeration Date:2014-10-17
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical