Individual provider Active NPI

Thomas Glenn Birkey, M.D.

  • Family Medicine Physician
  • Montevideo, MN
National Provider Identifier
1043636574
Registry record updated Mar 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
15975 Issued in MN
Practice address
725 N 1St St
Montevideo, MN 56265-1311
Phone
(320) 269-9798
NPI assigned
Mar 7, 2014
Last updated
Mar 7, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 15975 MN Primary

Addresses

Primary practice location

725 N 1St St
Montevideo, MN 56265-1311

Mailing address

725 N 1St St
Montevideo, MN 56265-1311
Phone (320) 269-9798

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
15975MNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Ophthalmology Associates, P.a. Past Accepting new patients
CCM Health Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1394150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394150400000",
    "number": "1043636574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 N 1ST ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651311",
            "telephone_number": "320-269-9798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 N 1ST ST",
            "city": "MONTEVIDEO",
            "state": "MN",
            "postal_code": "562651311",
            "telephone_number": "320-269-9798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRKEY",
        "first_name": "THOMAS",
        "middle_name": "GLENN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-07",
        "last_updated": "2014-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "15975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montevideo, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; 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.