Healthcare Provider Details

I. General information

NPI: 1851603906
Provider Name (Legal Business Name): PAUL V BIRINYI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/06/2010
Last Update Date: 05/15/2025
Certification Date: 05/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 PECAN PARK AVE STE D
ALEXANDRIA LA
71303-3362
US

IV. Provider business mailing address

PO BOX 11758
ALEXANDRIA LA
71315-1758
US

V. Phone/Fax

Practice location:
  • Phone: 800-238-0827
  • Fax: 318-219-5221
Mailing address:
  • Phone: 800-238-0827
  • Fax: 318-219-5221

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number04-44190
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number55750
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberR5514
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License Number73373
License Number StateMN
# 5
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberMD.308541
License Number StateLA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: