Mary Bird

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

51658 Issued in WV

Practice address

590 North Poplar Fork Rd
Hurricane, WV 25526-9434

Phone

(304) 757-7826

NPI assigned

Dec 31, 2014

Last updated

Dec 31, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pai Participant 5 PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Coventry, RI
  • NPI 1194381947
  NPD (past)

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

{
    "created_epoch": "1419984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419984000000",
    "number": "1508254319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3573 SLEEPY HOLLOW DR",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269652",
            "telephone_number": "304-437-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 NORTH POPLAR FORK RD",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255269434",
            "telephone_number": "304-757-7826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "MARY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-31",
        "last_updated": "2014-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "WV",
            "license": "51658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN BOARD",
            "identifier": "51658",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Lee Bell, D.D.S.
• Angela Benson, PT
• Ian Berka
• Bio-Medical Applications of West Virginia, Inc. (FMC Dialysis Services Hurricane)
• Dakota E Bird
• Kimberley Bishop
• Gregory Black, DDS
• Haley Marie Black, CCC-SLP
• Robin Black, LMT
• Paul Alex Blair, M.D.

• Nursing Facility/Intermediate Care Facility in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Nursing Facility/Intermediate Care Facility in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2014; 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.