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BENJAMIN E. BIERBAUM M.D. NPI 1962469353


NPI Information

NPI: 1962469353
Provider Name: BENJAMIN E. BIERBAUM, M.D.
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Individual

Specialization: Adult Reconstructive Orthopaedic Surgery

Address:
830 BOYLSTON ST
SUITE 106
CHESTNUT HILL, MA
ZIP 02467
Phone: (617) 277-1205
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Benjamin E. Bierbaum, M.D. is an adult reconstructive orthopaedic surgery orthopaedic surgery in Chestnut Hill, MA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. Benjamin E. Bierbaum, M.D. NPI is 1962469353. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

830 BOYLSTON ST
SUITE 106
CHESTNUT HILL, MA
ZIP 02467-503
Phone: (617) 277-1205
Fax: (617) 232-6528

The enumeration date for this NPI number is 4/28/2006 and was last updated on 7/18/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207X00000XOrthopaedic Surgery28492MASSACHUSETTSNo
2207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic Surgery28492MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1DX3349MEDICARE PINMASSACHUSETTS
2M07063MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS
32098172MEDICAIDMASSACHUSETTS
4A65825MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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