NPIMap

Organization Active NPI

Allan Birnbaum DO PA

  • Internal Medicine Physician
  • Port St Lucie, FL
National Provider Identifier
1265628861
Registry record updated Feb 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS4258 Issued in FL
Legal business name
ALLAN BIRNBAUM DO PA
Practice address
1701 SE Hillmoor Dr
Suite 5
Port St Lucie, FL 34952-7552
Phone
(772) 337-7320
Fax
(772) 337-7321
NPI assigned
Sep 18, 2007
Last updated
Feb 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2018

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

Authorized official

Name
Mr. Robert C Follmer
Title
Office Manager
Phone
(772) 337-7320

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS4258 FL Primary
Internal Medicine Physician 207R00000X ME124391 FL

Addresses

Primary practice location

1701 SE Hillmoor Dr
Suite 5
Port St Lucie, FL 34952-7552

Mailing address

1701 SE Hillmoor Dr
Suite 5
Port St Lucie, FL 34952-7552
Phone (772) 337-7320

National Provider Directory

National Provider Directory

Locations

1701 SE Hillmoor Dr
#6
Port Saint Lucie, FL 34952
Phone (772) 337-7320

5134 SE Federal Hwy
Stuart, FL 34997
Phone (561) 545-1013

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1265628861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR",
            "address_2": "SUITE 5",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "772-337-7320",
            "fax_number": "772-337-7321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SE HILLMOOR DR",
            "address_2": "SUITE 5",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349527552",
            "telephone_number": "772-337-7320",
            "fax_number": "772-337-7321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLAN BIRNBAUM DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "FOLLMER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "772-337-7320",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS4258",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME124391",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.