Active NPI
Brandon William Bird, D.C.
- Chiropractor
- Voorhees, NJ
National Provider Identifier
1376690750
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 38MC00606300
- Practice address
- 1307 White Horse Rd
Building B Suite 200
Voorhees, NJ 08043-2119 - Phone
- (856) 783-6789
- Fax
- (856) 783-7199
- NPI assigned
- Jan 5, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 38MC00606300 | NJ | Primary |
| Chiropractor | 111N00000X | DC009084 | PA |
Addresses
Primary practice location
1307 White Horse Rd
Building B Suite 200
Voorhees, NJ 08043-2119
Mailing address
1307 White Horse Rd
Building B Ste 200
Voorhees, NJ 08043-2119
Phone (856) 783-6789
Other identifiers 15
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 113676280 | Other | NJ | HORIZON BCBS |
| 113676280 | Other | PA | CARPENTERS HEALTH AND WEL |
| 113676280 | Other | NJ | ALLSTATE |
| 2212354000 | Other | PA | AMERIHEALTH PPO |
| 665240 | Other | GA | ACN |
| 0062766 | Medicaid | NJ | |
| 113676280 | Other | NJ | ATLANTICARE ADMINISTRATOR |
| 113676280 | Other | NJ | CONCENTRA |
| 113676280 | Other | UT | DESERET MUTUAL |
| 066247 | Other | MD | APWU HEALTH PLAN |
| 3020655 | Other | TX | AETNA |
| 665240 | Other | GA | UNITED HEALTH CARE |
| 2212354000 | Other | PA | KEYSTONE HEALTH PLAN EAST |
| 2213023000 | Other | PA | INDEPENDENCE BLUE CROSS |
| 3020655 | Other | NJ | AETNA HMO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- New York Chiropractic College, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1307 White Horse Rd
Suite 200
Voorhees, NJ 08043-2119
Phone (856) 783-6789
7150 N Park Dr
Suite 420
Pennsauken, NJ 08109-4215
Phone (856) 783-6789
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DC009084 | PA | MD | Chiropractor |
Organizations & group practices 1
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.
-
- Chiropractor
- Voorhees, NJ
- NPI 1750821112
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599523200000",
"number": "1376690750",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 WHITE HORSE RD",
"address_2": "BUILDING B STE 200",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080432119",
"telephone_number": "856-783-6789",
"fax_number": "856-783-7199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 WHITE HORSE RD",
"address_2": "BUILDING B SUITE 200",
"city": "VOORHEES",
"state": "NJ",
"postal_code": "080432119",
"telephone_number": "856-783-6789",
"fax_number": "856-783-7199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRD",
"first_name": "BRANDON",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2020-09-08",
"certification_date": "2020-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NJ",
"license": "38MC00606300",
"primary": true
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "PA",
"license": "DC009084",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON BCBS",
"identifier": "113676280",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARPENTERS HEALTH AND WEL",
"identifier": "113676280",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALLSTATE",
"identifier": "113676280",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH PPO",
"identifier": "2212354000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ACN",
"identifier": "665240",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0062766",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATLANTICARE ADMINISTRATOR",
"identifier": "113676280",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONCENTRA",
"identifier": "113676280",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESERET MUTUAL",
"identifier": "113676280",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APWU HEALTH PLAN",
"identifier": "066247",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3020655",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE",
"identifier": "665240",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE HEALTH PLAN EAST",
"identifier": "2212354000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INDEPENDENCE BLUE CROSS",
"identifier": "2213023000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3020655",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Voorhees, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.