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NPI Code Detail

MEDICARE: BRUCE E. BIRKBY M.D.

MEDICARE: BRUCE E. BIRKBY 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
1207K00000XAllergy & Immunology Physician49426MA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
12030004806OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3A66532OTHERNVANTHEM BLUE CROSS
44374789OTHERAETNA - NON-HMO
567889OTHERHEALTHSOURCE
602-00098OTHEREVERCARE
7049426OTHERMATUFTS HEALTH PLAN
81216OTHERMAHARVARD PILGRIM HEALTHCAR
91932103298OTHERAETNA - HMO
106287992OTHERCIGNA HEALTHCARE
11J06948OTHERMABLUE CROSS BLUE SHIELD
13978456OTHERNETWORK HEALTH
140012018OTHERNEIGHBORHOOD HEALTH PLAN

General Provider Information

NPI Number : 1932103298
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRUCE E. BIRKBY M.D.
Provider Business Mailing Address
First Line : 500 MERRIMACK ST
Second Line : RIVERWALK
City : LAWRENCE
State : MA
Zip : 01843-1756
Country : US
Telephone Number : 978-557-8900
Fax Number : 978-557-8944
Provider Business Practice Location Address
First Line : 500 MERRIMACK ST
Second Line : RIVERWALK
City : LAWRENCE
State : MA
Zip : 01843-1756
Country : US
Telephone Number : 978-557-8900
Fax Number : 978-557-8944
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2005
Last Update Date : 05/10/2008

Similar Medicare Providers

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Practice Location Address:
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Practice Fax: 978-557-8867
1578567434 — RICHARD A. GOLDMAN M.D.
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1992700934 — KAREN A. MELLO M.D.
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Practice Fax: 978-557-8859
1558366351 — MIROSLAWA SKORUPKA M.D.
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1639174410 — DREW G. NICCOLINI M.D.
Practice Location Address:
500 MERRIMACK ST , RIVERWALK
LAWRENCE, MA
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Practice Fax: 978-557-8867
1194720904 — JANE A. THOMPSON M.D.
Practice Location Address:
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Practice Fax: 978-557-8856

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