Active NPI
Adam Alexander Birch
- Physician Assistant
- Jacksonville, FL
National Provider Identifier
1083576045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9121130
- Practice address
- 2080 Child St
Jacksonville, FL 32214-5005 - Phone
- (904) 546-7094
- NPI assigned
- Nov 28, 2025
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9121130 | FL | Primary |
Addresses
Primary practice location
2080 Child St
Jacksonville, FL 32214-5005
Mailing address
10667 Brightman Blvd Apt 7106
Jacksonville, FL 32246-7528
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9121130 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766966400000",
"number": "1083576045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10667 BRIGHTMAN BLVD APT 7106",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322467528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 CHILD ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322145005",
"telephone_number": "904-546-7094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRCH",
"first_name": "ADAM",
"middle_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-11-28",
"last_updated": "2025-12-29",
"certification_date": "2025-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9121130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
- Bio-Medical Applications of Florida, Inc.
- Bio-Medical Applications of Florida, Inc.
- Biofeedback Associates of NE FL
- Bioscrip Infusion Services, LLC
- Bioscrip Infusion Services, LLC
- Sandra Lee Birch
- Sheri Lynne Birchwood, RD, LD/N
- Jose Enrique Bird-Jimenez
- Keisha R. Bird, ARNP
- Birdsong Hearing Benefits LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.