Active NPI
Gary Birks, C.O.
- Prosthetic/Orthotic Supplier
- Norman, OK
National Provider Identifier
1487997987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 26
- Practice address
- 1018 24TH Ave NW
Suite110
Norman, OK 73069-6543 - Phone
- (405) 310-3344
- Fax
- (405) 310-3340
- NPI assigned
- Apr 3, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | 26 | OK | Primary |
Addresses
Primary practice location
1018 24TH Ave NW
Suite110
Norman, OK 73069-6543
Mailing address
1018 24TH Ave NW
Suite110
Norman, OK 73069-6543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 99832 | Other | OK | PRIVATE INSURANCE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26 | OK | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364947200000",
"number": "1487997987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 24TH AVE NW",
"address_2": "SUITE110",
"city": "NORMAN",
"state": "OK",
"postal_code": "730696543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 24TH AVE NW",
"address_2": "SUITE110",
"city": "NORMAN",
"state": "OK",
"postal_code": "730696543",
"telephone_number": "405-310-3344",
"fax_number": "405-310-3340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRKS",
"first_name": "GARY",
"credential": "C.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-03",
"last_updated": "2013-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "OK",
"license": "26",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIVATE INSURANCE",
"identifier": "99832",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.