MEDICARE: DR. PETER BIRK 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
1	207RP1001X	Pulmonary Disease Physician	0101029919	VA

Other Identifiers

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

General Provider Information

NPI Number	:	1962401406
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PETER BIRK M.D.

Provider Business Mailing Address
First Line	:	1026 CATON DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3140
Country	:	US
Telephone Number	:	757-650-1723
Fax Number	:

Provider Business Practice Location Address
First Line	:	1026 CATON DR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23454-3140
Country	:	US
Telephone Number	:	757-650-1723
Fax Number	:

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

Provider Enumeration Date	:	07/18/2005
Last Update Date	:	07/31/2024

Similar Medicare Providers

1104036086 — R. MICHAEL MATCHETT, M.D., P.C.
Practice Location Address:

1018 CATON DR
VIRGINIA BEACH, VA
23454-3140

Practice Phone: 757-481-1278
Practice Fax:

1356050306 — ROBERT BOYD BEAU CAULDER AGPCNP-C
Practice Location Address:

3645 VAN BUREN DR
VIRGINIA BEACH, VA
23452-3140

Practice Phone: 757-802-1891
Practice Fax:

1215986971 — DANISE S LANCIAULT ARNP
Practice Location Address:

1108 HAMLET LN E
NEPTUNE BEACH, FL
32266-3140

Practice Phone: 904-725-6463
Practice Fax: 904-724-5006

1033422076 — MRS. FRANGELICA N LEO M.S., CCC-SLP
Practice Location Address:

15801 CROSSBAY BLVD
HOWARD BEACH, NY
11414-3140

Practice Phone: 347-593-8255
Practice Fax: 855-592-6874

1770843633 — LONG BEACH QUEST DIALYSIS CENTER
Practice Location Address:

3140 LONG BEACH BLVD
LONG BEACH, CA
90807-5061

Practice Phone: 562-988-8866
Practice Fax:

1205364437 — THE KIDZ LOUNGE RELATED SERVICES LLC
Practice Location Address:

15801 CROSSBAY BLVD
HOWARD BEACH, NY
11414-3140

Practice Phone: 718-848-0875
Practice Fax: 718-848-0876

Directions to “ DR. PETER BIRK M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.