Provider Demographics
NPI:1669434205
Name:BIERMAN, LOUIS DAVID (DO)
Entity type:Individual
Prefix:DR
First Name:LOUIS
Middle Name:DAVID
Last Name:BIERMAN
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 1:1709 LANGHORNE NEWTOWN RD
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1010
Mailing Address - Country:US
Mailing Address - Phone:215-968-1900
Mailing Address - Fax:215-968-1097
Practice Address - Street 1:1709 LANGHORNE NEWTOWN RD
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1010
Practice Address - Country:US
Practice Address - Phone:215-968-1900
Practice Address - Fax:215-968-1097
Is Sole Proprietor?:No
Enumeration Date:2006-04-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA0S003883L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA000705266Medicaid
PAD98633Medicare UPIN
PABI095839Medicare ID - Type Unspecified