George Birks MD PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35413 Issued in CO

Legal business name

GEORGE BIRKS MD PLLC

Practice address

1930 E Orman Ave
Pueblo, CO 81004-3553

Phone

(719) 565-1900

Fax

(719) 565-1901

NPI assigned

Apr 26, 2006

Organization subpart

No

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

Authorized official

Name

George F Birks Jr., M.D.

Title

MD

Phone

(719) 565-1900

Specialties & licenses 1

Addresses

Other identifiers 3

Locations

Practitioners 1

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

• Carlotta J Fendrich, NP

  • Nurse Practitioner
  • Pueblo, CO
  • NPI 1427015767
  NPD (past)

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267488000000",
    "number": "1174580914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8537",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810088537",
            "telephone_number": "719-566-1869",
            "fax_number": "719-565-1901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 E ORMAN AVE",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810043553",
            "telephone_number": "719-565-1900",
            "fax_number": "719-565-1901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE BIRKS MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-26",
        "last_updated": "2010-03-02",
        "status": "A",
        "authorized_official_last_name": "BIRKS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "719-565-1900",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "35413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82685029",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110246700",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DG5436",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Genoa Healthcare LLC
• Genoa Healthcare LLC
• Justin P Genova
• Marjorie Genova, M.A., L.P.C.
• Audrey L Gentile, NP
• James F Georgis, O.D.
• Crystal Gerlock, LCSW
• Geropsych, PC
• Kristen Gettler
• Tiffany Getz, LICENSED PRACTICAL N

• Internal Medicine Physician in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; 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.