Gary Birnbaum MD Prof Corp

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

GARY BIRNBAUM MD PROF CORP

Practice address

97 Vista del Sol
Mill Valley, CA 94941-4920

Phone

(415) 350-0639

Fax

(415) 366-2882

NPI assigned

Oct 17, 2018

Organization subpart

No

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

Authorized official

Name

Mr. David G Harnden

Title

Administrative Manager

Phone

(415) 648-2021

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

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

• Gary Benn Birnbaum, M.D.

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1972685972
  Medicare reassignment

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1255807152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 VISTA DEL SOL",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949414920",
            "telephone_number": "415-350-0639",
            "fax_number": "415-366-2882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 VISTA DEL SOL",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949414920",
            "telephone_number": "415-350-0639",
            "fax_number": "415-366-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY BIRNBAUM MD PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "HARNDEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "415-648-2021",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriela Garcia-Rojas, D.D.S.
• John Garcia, MD
• Richard John Garcia, DDS
• Jerry D. Gardner, M.D
• Sarah Garlick, LCSW
• Gary R Nelson DDS MSD Inc
• Claude Paul Genain, MD
• Daniel Geren, L.AC.
• Joanie Gillispie, PH.D
• Alvin Louis Gilmore Jr., MFT

• Family Medicine Physician in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.