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NPI Code Detail

MEDICARE: DAVID A BIRNBAUM M.D.

MEDICARE: DAVID A BIRNBAUM M.D.
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
1207QS0010XSports Medicine (Family Medicine) Physician96-16NM
2207Q00000XFamily Medicine Physician96-16NM

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 : 1285631580
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAVID A BIRNBAUM M.D.
Provider Business Mailing Address
First Line : 535 S HUMBOLDT ST
Second Line :
City : BATTLE MOUNTAIN
State : NV
Zip : 89820-1988
Country : US
Telephone Number : 775-635-2550
Fax Number : 775-635-2437
Provider Business Practice Location Address
First Line : 535 S HUMBOLDT ST
Second Line :
City : BATTLE MOUNTAIN
State : NV
Zip : 89820-1988
Country : US
Telephone Number : 775-635-2550
Fax Number : 775-635-2437
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2005
Last Update Date : 09/16/2020

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Directions to “ DAVID A BIRNBAUM M.D.” Practice Location

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