Individual
ADAM J BIERBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
6901 N 72ND ST, OMAHA, NE 68122-1709
(402) 778-9738
(402) 334-2849
Mailing address
PO BOX 34310, OMAHA, NE 68134-0310
(402) 778-9738
(402) 334-2849
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
101030
NE
367500000X
Certified Registered Nurse Anesthetist
D115455
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
098713
MEDICARE-IMC/BERGAN
NE
05
—
10025507900
—
NE
05
—
10025709800
—
NE
05
—
10025745800
—
NE
01
—
101030
NE LICENSE
NE
05
—
47055043815
—
NE
01
—
I21224
MEDICARE-MERCY
IA
01
—
NA1324
MEDICARE-MIDLANDS
NE
Enumeration date
04/10/2008
Last updated
02/19/2010
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