Active NPI
Gerald Paul Birkmann, O.D.
- Optometrist
- New Melle, MO
National Provider Identifier
1043251812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- TO2148
- Practice address
- 30 W Highway D
Suite 200
New Melle, MO 63365-9998 - Phone
- (636) 828-4733
- NPI assigned
- Jun 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | TO2148 | MO | Primary |
Addresses
Primary practice location
30 W Highway D
Suite 200
New Melle, MO 63365-9998
Mailing address
1 Laura LN
Washington, MO 63090-1304
Phone (636) 239-1589
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TO2148 | MO | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192147200000",
"number": "1043251812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LAURA LN",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630901304",
"telephone_number": "636-239-1589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 W HIGHWAY D",
"address_2": "SUITE 200",
"city": "NEW MELLE",
"state": "MO",
"postal_code": "633659998",
"telephone_number": "636-828-4733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRKMANN",
"first_name": "GERALD",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2007-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "MO",
"license": "TO2148",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Melle, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.