Organization Active NPI

Gregory M. Birch DPM

  • Durable Medical Equipment & Medical Supplies
  • Brooklyn, NY
National Provider Identifier
1386829943
Registry record updated Feb 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
N002931 Issued in NY
Legal business name
GREGORY M. BIRCH DPM
Practice address
6417 Bay Pkwy
Brooklyn, NY 11204-4072
Phone
(718) 232-6737
Fax
(718) 234-0994
NPI assigned
Jan 2, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2017

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

Authorized official

Name
Gregory M Birch, D.P.M
Title
Owner
Phone
(718) 232-6737

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X N002931 NY Primary
Customized Equipment (DME) 332BC3200X N002931 NY

Addresses

Primary practice location

6417 Bay Pkwy
Brooklyn, NY 11204-4072

Mailing address

6417 Bay Pkwy
Brooklyn, NY 11204-4072
Phone (718) 232-6737

Other identifiers 1

IdentifierTypeStateIssuer
00405321MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487635200000",
    "number": "1386829943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6417 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044072",
            "telephone_number": "718-232-6737",
            "fax_number": "718-234-0994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6417 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112044072",
            "telephone_number": "718-232-6737",
            "fax_number": "718-234-0994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY M. BIRCH DPM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-02",
        "last_updated": "2017-02-21",
        "status": "A",
        "authorized_official_last_name": "BIRCH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-232-6737",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N002931",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "N002931",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00405321",
            "state": "NY"
        }
    ],
    "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 Feb 21, 2017; 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.