Birch Medical and Skin Care PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BIRCH MEDICAL AND SKIN CARE PLLC

Practice address

4095 N Carson St
Carson City, NV 89706-1936

Phone

(775) 883-3953

NPI assigned

Apr 15, 2025

Organization subpart

No

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

Authorized official

Name

Daniel John BradfordNPI 1528123254

Title

Owner

Phone

(808) 443-1010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel John Bradford, M.D.

  • Family Medicine Physician
  • Reno, NV
  • NPI 1528123254
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785110400000",
    "number": "1124814447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4095 N CARSON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897061936",
            "telephone_number": "775-443-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4095 N CARSON ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897061936",
            "telephone_number": "775-883-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH MEDICAL AND SKIN CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A",
        "authorized_official_last_name": "BRADFORD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-443-1010"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Dean Bigelow, PHARMD
• Kevin Andrew Bigley, MSPT
• Tammie Lynn Bigley, MSPT
• Ragneel Reddy Bijjula, MD
• Sarah Billings, M.S., CCC-SLP
• Edward Lee Birdsong, M.D.
• Stefanie Bischoff, RN
• Tessa Black, MD
• Catherine Blanchard, PA-C
• Taylor Daniel Blattenberger, DPT

• Family Medicine Physician in Carson City, NV
• Providers in Carson City, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.