MEDICARE: VITUITY-HM SERVICES PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician

General Provider Information

NPI Number	:	1124951652
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VITUITY-HM SERVICES PC

Provider Business Mailing Address
First Line	:	2100 POWELL ST STE 400
Second Line	:
City	:	EMERYVILLE
State	:	CA
Zip	:	94608-1872
Country	:	US
Telephone Number	:	510-350-2600
Fax Number	:

Provider Business Practice Location Address
First Line	:	1116 MILLIS AVE
Second Line	:
City	:	BOONVILLE
State	:	IN
Zip	:	47601-2242
Country	:	US
Telephone Number	:	812-897-4800
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OPERATING OFFICER & VP
Name	:	DAVID BIRDSALL
Credential	:	MD
Telephone Number	:	510-350-2600

Provider Enumeration Date	:	06/04/2026
Last Update Date	:	06/04/2026

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