Active NPI
Zachary Logan Birch, DO
- Internal Medicine Physician
- Blacksburg, VA
National Provider Identifier
1043846181
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 5093
- Practice address
- 3700 S Main St
Blacksburg, VA 24060-7017 - Phone
- (540) 953-3528
- NPI assigned
- Mar 20, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5093 | TN | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
3700 S Main St
Blacksburg, VA 24060-7017
Mailing address
3700 S Main St
Blacksburg, VA 24060-7017
Phone (540) 953-3528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230626001897 | TN | Practitioner - Internal Medicine | 8224452487 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Southeastern Physician Services PC
Practice addresses (Care Compare)
400 N State of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 431-6111
Hospital & facility affiliations
- Ballad Health Hospice
- Wellmont Holston Valley Medical Center
- Wellmont Bristol Regional Medical Center
- Johnson City Medical Center
- Johnston Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5093 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
Locations
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Interoperability endpoints
- zachary.birch@hca6.eclinicaldirectplus.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine, TN
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Johnson City, TN
- NPI 1972606465
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1584662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684627200000",
"number": "1043846181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3700 S MAIN ST",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240607017",
"telephone_number": "540-953-3528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3700 S MAIN ST",
"city": "BLACKSBURG",
"state": "VA",
"postal_code": "240607017",
"telephone_number": "540-953-3528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRCH",
"first_name": "ZACHARY",
"middle_name": "LOGAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-03-20",
"last_updated": "2023-05-21",
"certification_date": "2023-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "5093",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blacksburg, VA
- Sarah Bertolo, LPC
- Cathye Griffin Betzel, PSYD
- Lynn Marie Bever, PH.D., L.C.P.
- Victoria Hutchins Bierman, PMHNP
- Bio-Medical Applications of Virginia, Inc.
- Benjamin James Bishop, DDS
- Thomas H Bishop, M.D.
- Alex Kendrick Black, ATC
- Blacksburg Behavioral Health, LLC
- Blacksburg Center for Pain Management, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.