Active NPI
Antonio Modesto Bird, MD
- Addiction Medicine (Psychiatry & Neurology) Physician
- Asheville, NC
National Provider Identifier
1114072519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Medicine (Psychiatry & Neurology) Physician
- License
- 9501494
- Practice address
- 14 S Pack SQ
Suite 362
Asheville, NC 28801-3511 - Phone
- (828) 232-1994
- Fax
- (828) 232-9941
- NPI assigned
- Jan 24, 2007
- 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 |
|---|---|---|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | 2084A0401X | 9501494 | NC | Primary |
Addresses
Primary practice location
14 S Pack SQ
Suite 362
Asheville, NC 28801-3511
Mailing address
14 S Pack SQ
Suite 362
Asheville, NC 28801-3511
Phone (828) 232-1994
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Apr 1, 2014 through Apr 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antonio M Bird MD PA | Addiction Medicine | Past | Accepting new patients |
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.
-
- Addiction Medicine (Psychiatry & Neurology) Physician
- Asheville, NC
- NPI 1528113925
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1114072519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 S PACK SQ",
"address_2": "SUITE 362",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288013511",
"telephone_number": "828-232-1994",
"fax_number": "828-232-9941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 S PACK SQ",
"address_2": "SUITE 362",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288013511",
"telephone_number": "828-232-1994",
"fax_number": "828-232-9941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRD",
"first_name": "ANTONIO",
"middle_name": "MODESTO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084A0401X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Medicine",
"state": "NC",
"license": "9501494",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.