Individual provider Active NPI

Carmen B Bird Pico, MD

  • Internal Medicine Physician
  • Anadarko, OK
National Provider Identifier
1396184875
Registry record updated Jun 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
18757 Issued in OK
Practice address
404 SE 11TH St
Anadarko, OK 73005-4442
Phone
(405) 247-7346
Fax
(405) 247-7565
NPI assigned
Jun 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 18757 OK Primary

Addresses

Primary practice location

404 SE 11TH St
Anadarko, OK 73005-4442

Mailing address

404 SE 11TH St
Anadarko, OK 73005-4442
Phone (405) 247-7364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
18757OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Juan a. Maldonado MD Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1371513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371513600000",
    "number": "1396184875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 SE 11TH ST",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730054442",
            "telephone_number": "405-247-7364",
            "fax_number": "405-247-7565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 SE 11TH ST",
            "city": "ANADARKO",
            "state": "OK",
            "postal_code": "730054442",
            "telephone_number": "405-247-7346",
            "fax_number": "405-247-7565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD PICO",
        "first_name": "CARMEN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-18",
        "last_updated": "2013-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "18757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anadarko, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2013; 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.