Active NPI
Michael C Baird, M.D.
- General Practice Physician
- Brooklyn, NY
National Provider Identifier
1205877289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 130872-1
- Practice address
- 810 Carroll St
Brooklyn, NY 11215-1427 - Phone
- (530) 521-3069
- NPI assigned
- Jun 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | RHL116491 | CA | |
| General Practice Physician | 208D00000X | 130872-1 | NY | Primary |
Addresses
Primary practice location
810 Carroll St
Brooklyn, NY 11215-1427
Mailing address
810 Carroll St
Brooklyn, NY 11215-1427
Phone (530) 521-3069
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G208470 | Medicaid | CA | |
| G20847 | Other | CA | MEDICAL LICENSE |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RHL116491 | CA | MD | Radiation Oncology Physician |
| 130872-1 | NY | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North State Radiology Medical Group Inc | Past | Accepting new patients | |
| North State Radiology Medical Group Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Chico, CA
- NPI 1033151931
-
- Diagnostic Radiology Physician
- Chico, CA
- NPI 1699927988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1205877289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 CARROLL ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112151427",
"telephone_number": "530-521-3069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 CARROLL ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112151427",
"telephone_number": "530-521-3069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAIRD",
"first_name": "MICHAEL",
"middle_name": "C",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-09",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "RHL116491",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "NY",
"license": "130872-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G208470",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "G20847",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.