Healthcare Provider Details

I. General information

NPI: 1467374298
Provider Name (Legal Business Name): ALEX BIRCH MD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 07/25/2026
Certification Date: 07/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2250 SW 21ST ST
MIAMI FL
33145-2510
US

IV. Provider business mailing address

2250 SW 21ST ST
MIAMI FL
33145-2510
US

V. Phone/Fax

Practice location:
  • Phone: 510-282-4506
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ALEXANDRA BIRCH
Title or Position: COSMETIC SURGEON
Credential: MD
Phone: 510-282-4506