GREGORY B BIEDERMANN (NPI# 1851463756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851463756 |
| Entity Type | Individual |
| Full Name | GREGORY B BIEDERMANN |
| Credential | MD |
| Practice Address |
1705 E Broadway Ste 100 Columbia MO 65201-7166 |
| Mailing Address |
1705 E Broadway Suite 100 Columbia MO 65201-7166 |
| Practice Telephone | 5738747800 |
| Practice Fax Number | 5734433627 |
| Mailing Telephone | 5738747800 |
| Mailing Fax Number | 5734433627 |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2009-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 0101240320 | VA | Allopathic & Osteopathic Physicians |
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
2009010338 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 1851463756 | 05 | |
| VA | MEDICAL LICENSE | 0101240320 | 01 |
| Street Address |
1705 E BROADWAY STE 100 |
| City | COLUMBIA |
| State | MO |
| Zip Code | 65201-7166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467546 | Paula Jean Mcmurtry | Internal Medicine | 1705 E Broadway, Suite 220, Columbia, MO 65201 | 2005-06-16 |
| 1356804637 | Lab One LLC | Clinical Medical Laboratory | 1705 E Broadway, Columbia, MO 65201-7166 | 2019-04-12 |
| 1861887689 | Lauren Wood Breshears | Registered Nurse | 1705 E Broadway, Suite 220, Columbia, MO 65201-7166 | 2015-03-30 |
| 1205172301 | Kimberly Shan Adams | Nurse Practitioner | 1705 E Broadway, Suite 220, Columbia, MO 65201-7166 | 2012-12-17 |
| 1609129816 | Denise L Swenson | Social Worker | 1705 E Broadway, Suite 100, Columbia, MO 65201-7166 | 2012-10-25 |
| 1255603809 | William James Crowley Jr. | Family Medicine | 1705 E Broadway, Suite 280, Columbia, MO 65201-7166 | 2012-01-29 |
| 1730495250 | Liana Makarian | Internal Medicine | 1705 E Broadway, Columbia, MO 65201-7166 | 2010-08-21 |
| 1588848014 | W. Mike See Md PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1705 E Broadway, 340, Columbia, MO 65201-7166 | 2007-12-19 |
| 1992871719 | Missouri Cancer Care Pharmacy | Pharmacy | 1705 E Broadway, Suite 100, Columbia, MO 65201-7166 | 2006-11-24 |
| 1760590376 | Urology Consultants of Central Missouri | Urology | 1705 E Broadway, Suite 340, Columbia, MO 65201-7166 | 2006-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134688534 | Thomas Havey | Specialist/Technologist | 600 E Stadium Boulevard, Columbia, MO 65201 | 2019-03-15 |
| 1881176121 | Darrea L Green | Nurse Practitioner | 3700 Interstate 70 Dr Se, Columbia, MO 65201 | 2018-09-04 |
| 1073092383 | Andrea L. Lingenfelter | Registered Nurse | 1605 East Broadway, Ste. 100, Columbia, MO 65201 | 2018-08-08 |
| 1144724238 | Angela Marie Richmond | Internal Medicine | 1 Hospital Dr Rm Ma423, Columbia, MO 65201 | 2018-03-22 |
| 1770092892 | Palmer's Home Care, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 701 Hillsdale Road, Columbia, MO 65201 | 2017-09-20 |
| 1205358710 | Mitchell E Swee | Specialist/Technologist | 600 East Stadium Blvd, Columbia, MO 65201 | 2017-07-17 |
| 1659815470 | Colleen Jockin | Specialist | 100 Matc, Columbia, MO 65201 | 2016-12-13 |
| 1720535305 | Hannah Garrad | Dietitian, Registered | Columbia 3, 25 Conley Road, Columbia, MO 65201 | 2016-09-01 |
| 1043662570 | Restoration Chiropractic LLC | Chiropractor | 1413 Grindstone Plaza Drive, Columbia, MO 65201 | 2016-07-08 |
| 1306298930 | Taylor John Sirois | Chiropractor | 1413 Grindstone Plaza Dr., Columbia, MO 65201 | 2016-07-07 |
| Find all providers in zip 65201 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659885754 | Providence Physician Practices, LLC | Radiology | 114 Gateway Corporate Blvd Ste 440, Columbia, SC 29203-9785 | 2017-11-28 |
| 1063493591 | Raleigh J Boulware | Radiology | 7 Medical Park, Suite 104, Columbia, SC 29223 | 2005-11-10 |
| 1568859023 | Andrew J Leiker | Radiology | One Hospital Dr, Columbia, MO 65212-0001 | 2015-04-22 |
| 1801214267 | Reed Evans Cope | Radiology | 1705 E Broadway Ste 100, Columbia, MO 65201-7167 | 2014-04-02 |
| 1467899534 | Leonid Zamdborg | Radiology | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2013-05-30 |
| 1568725810 | Kevin Blas | Radiology | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2012-06-21 |
| 1962799452 | Kurt Davin Meyer | Radiology | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2011-07-05 |
| 1376855981 | Brandon M Stone | Radiology | 166 Stoneridge Dr, Columbia, SC 29210-8239 | 2010-07-12 |
| 1396903761 | Elizabeth May Nichols | Radiology | 10710 Charter Dr, Suite G030, Columbia, MD 21044-3128 | 2008-06-01 |
| 1568476745 | Sally B Cheston | Radiology | 11065 Little Patuxent Pkwy, Columbia, MD 21044-2998 | 2006-07-27 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.