Organization Active NPI

David Birch D.O.

  • Family Medicine Physician
  • Rehoboth Beach, DE
National Provider Identifier
1417919861
Registry record updated Apr 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C20002893 Issued in DE
Legal business name
DAVID BIRCH D.O.
Practice address
19160 Coastal Hwy
Unit a
Rehoboth Beach, DE 19971-6110
Phone
(302) 644-0714
Fax
(302) 644-0716
NPI assigned
Apr 3, 2006
Last updated
Apr 24, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2009

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

Authorized official

Name
Dr. David Birch, D.O.NPI 1265411508
Title
Owner
Phone
(302) 644-0714

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C20002893 DE Primary

Addresses

Primary practice location

19160 Coastal Hwy
Unit a
Rehoboth Beach, DE 19971-6110

Mailing address

1602 Newport Gap Pike
Wilmington, DE 19808-6208
Phone (302) 633-5740

Other identifiers 1

IdentifierTypeStateIssuer
080010983OtherDEPALMETTO GBA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1144022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240531200000",
    "number": "1417919861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 NEWPORT GAP PIKE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198086208",
            "telephone_number": "302-633-5740",
            "fax_number": "302-633-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19160 COASTAL HWY",
            "address_2": "UNIT A",
            "city": "REHOBOTH BEACH",
            "state": "DE",
            "postal_code": "199716110",
            "telephone_number": "302-644-0714",
            "fax_number": "302-644-0716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID BIRCH D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-03",
        "last_updated": "2009-04-24",
        "status": "A",
        "authorized_official_last_name": "BIRCH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "302-644-0714",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C20002893",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "080010983",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rehoboth Beach, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2009; 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.