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NPI Code Detail

MEDICARE: DR. JEFFREY C BIRD MD

MEDICARE:  DR. JEFFREY C BIRD  MD
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
1207Q00000XFamily Medicine Physician01036121IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1104815273
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY C BIRD MD
Provider Business Mailing Address
First Line : 221 N CELIA AVE
Second Line : C/O DEBERA BARKER - HEALTH CARE CONNECTIONS
City : MUNCIE
State : IN
Zip : 47303-4609
Country : US
Telephone Number : 765-282-8905
Fax Number : 765-751-1450
Provider Business Practice Location Address
First Line : 221 N CELIA AVE
Second Line :
City : MUNCIE
State : IN
Zip : 47303-4609
Country : US
Telephone Number : 765-741-2999
Fax Number : 765-747-3175
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 03/02/2011

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Directions to “ DR. JEFFREY C BIRD MD” Practice Location

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