John Christian Birky, MD
Individual provider Active NPI Family Medicine Physician · Garden City, KS
NPI 1003011529 · NPPES record last updated Mar 17, 2017
Key facts
- NPI
- 1003011529
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 04-33089 (KS)
- Practice address
- 311 E Spruce St
Ste 2B
Garden City, KS 67846-5614 - Phone
- (620) 765-4324
- Fax
- (620) 464-4732
- NPI assigned
- Jun 15, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-33089 | KS | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Hope Together, Inc. | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 04-33089 | KS | Yes |
Addresses
Primary practice location
311 E Spruce St
Ste 2B
Garden City, KS 67846-5614
Mailing address
902 N 5TH St
Garden City, KS 67846-5640
Phone (620) 277-8676
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200567860C | Medicaid | KS |
Other providers in Garden City, KS
- Becky'S Bridges, LLC
- Chloe Adaire Bennett
- Jessica Lynn Berg
- Jill Renee Beymer
- Brittany M Bilberry
- Jasmine Bonilla
- Robert E Bontrager
- Rachel Tanya Boodram
- Joan Loryane Booker
- Scott D Booker
All providers in Garden City, KS · Family Medicine Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.