MEDICARE: JARED BIRNBERG

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
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1770436149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JARED BIRNBERG

Provider Business Mailing Address
First Line	:	4825 BILTMORE FOREST DR
Second Line	:
City	:	MATTHEWS
State	:	NC
Zip	:	28105-2856
Country	:	US
Telephone Number	:	704-441-6440
Fax Number	:

Provider Business Practice Location Address
First Line	:	1208 EASTCHESTER DR
Second Line	:
City	:	HIGH POINT
State	:	NC
Zip	:	27265-3170
Country	:	US
Telephone Number	:	336-878-6644
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2026
Last Update Date	:	02/17/2026

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Directions to “ JARED BIRNBERG ” Practice Location

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