Individual provider Active NPI

Richard Earl Bird, M.D.

  • Neurology Physician
  • Salisbury, MD
National Provider Identifier
1265435473
Registry record updated Oct 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD458990 Issued in PA
Practice address
560 Riverside Drive
Suite B204
Salisbury, MD 21801
Phone
(410) 546-5722
Fax
(410) 546-5851
NPI assigned
May 23, 2005
Last updated
Oct 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X D0022132 MD
Neurology Physician 2084N0400X MD458990 PA Primary

Addresses

Primary practice location

560 Riverside Drive
Suite B204
Salisbury, MD 21801

Mailing address

560 Riverside Dr
Suite B204
Salisbury, MD 21801-4700
Phone (410) 546-5722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101122001243 MD Practitioner - Neurology 4385704279 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD458990PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
M.S. Shariff, M.D., P.a. CurrentSince Apr 1, 2018 Accepting new patients
M.S. Shariff, M.D., P.a. CurrentSince Apr 1, 2018 Accepting new patients
Tidalhealth Specialty Care, LLC CurrentSince Jul 12, 2024 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

105 Aurora St
Cambridge, MD 21613
Phone (410) 228-9515

100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1265435473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 RIVERSIDE DR",
            "address_2": "SUITE B204",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014700",
            "telephone_number": "410-546-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "560 RIVERSIDE DRIVE",
            "address_2": "SUITE B204",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "21801",
            "telephone_number": "410-546-5722",
            "fax_number": "410-546-5851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "RICHARD",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "MD",
            "license": "D0022132",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD458990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.