Phillip Morris Birdine Jr., LAB DIRECTOR

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

45D2308500 Issued in TX

Practice address

525 Fort Worth Dr Ste 211
Denton, TX 76201-7179

Phone

(940) 465-3822

NPI assigned

Aug 14, 2024

Last updated

Aug 14, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Good Sleep Healthcare Solutions LLC

  dba Good Sleep Healthcare Solutions

  • Durable Medical Equipment & Medical Supplies
  • Denton, TX
  • NPI 1386185700
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1003648692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 FORT WORTH DR STE 211",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762017179",
            "telephone_number": "940-465-3822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 FORT WORTH DR STE 211",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762017179",
            "telephone_number": "940-465-3822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDINE",
        "first_name": "PHILLIP",
        "middle_name": "MORRIS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "LAB DIRECTOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "45D2308500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katelyn Billings
• Billups Chiropractic
• Chance Andrew Billups I, DC
• Bio Medical Applications of Texas, Inc.
• Bio-Medical Applications of Texas, Inc. (Fresenius Kidney Care South Denton)
• Lauryn G Birkes
• Birthing From the Heart PLLC
• Rachel Katherine Bishop, AU.D.
• Wayne B Bishop, D.D.S.
• Jon Lawrence Bjarnason, D.C.

• Clinical Medical Laboratory in Denton, TX
• Providers in Denton, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.