Healthcare Provider Details

I. General information

NPI: 1063767879
Provider Name (Legal Business Name): RICHARD MONEY BIRD AU.D
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2012
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 N 300 W STE 211
PROVO UT
84604-3374
US

IV. Provider business mailing address

5349 ADAMS AVE PKWY STE C
OGDEN UT
84405-4736
US

V. Phone/Fax

Practice location:
  • Phone: 801-852-9684
  • Fax: 385-476-8446
Mailing address:
  • Phone: 801-479-3346
  • Fax: 801-479-0725

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number6082321-4101
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number6082321-4101
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: