Organization Active NPI

Birdie Varnedore MD, P.a.

  • Neurology Physician
  • Orlando, FL
National Provider Identifier
1508827676
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
Legal business name
BIRDIE VARNEDORE MD, P.A.
Practice address
2823 Northampton Ave
Orlando, FL 32828-7912
Phone
(407) 754-6490
Fax
(407) 512-4050
NPI assigned
Mar 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Birdie Varnedore, M.D.NPI 1063473122
Title
Owner/Physician
Phone
(407) 754-6490

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
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X Primary

Addresses

Primary practice location

2823 Northampton Ave
Orlando, FL 32828-7912

Mailing address

2823 Northampton Ave
Orlando, FL 32828-7912
Phone (407) 754-6490

Other identifiers 1

IdentifierTypeStateIssuer
271065000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041110000236 FL Part B Supplier - Clinic/Group Practice 3870556897 Receives reassigned benefits from 1 practitioner
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

7975 Lake Underhill Rd
Ste 328
Orlando, FL 32822
Phone (407) 482-0703

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1508827676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2823 NORTHAMPTON AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287912",
            "telephone_number": "407-754-6490",
            "fax_number": "407-512-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 NORTHAMPTON AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328287912",
            "telephone_number": "407-754-6490",
            "fax_number": "407-512-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRDIE VARNEDORE MD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "VARNEDORE",
        "authorized_official_first_name": "BIRDIE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "407-754-6490",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271065000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.