Antonio M Bird MD PA

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

License

9501494 Issued in NC

Legal business name

ANTONIO M BIRD MD PA

Practice address

14 S Pack SQ
Suite 362
Asheville, NC 28801-3511

Phone

(828) 232-1994

Fax

(828) 232-9941

NPI assigned

Jan 24, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Antonio Modesto Bird, MDNPI 1114072519

Title

President

Phone

(828) 232-1994

Specialties & licenses 1

Addresses

Locations

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.

• Antonio Modesto Bird, MD

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Asheville, NC
  • NPI 1114072519
  NPD (past) Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1528113925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 S PACK SQ",
            "address_2": "SUITE 362",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013511",
            "telephone_number": "828-232-1994",
            "fax_number": "828-232-9941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 S PACK SQ",
            "address_2": "SUITE 362",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288013511",
            "telephone_number": "828-232-1994",
            "fax_number": "828-232-9941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO M BIRD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "MODESTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "828-232-1994",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NC",
            "license": "9501494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction Medicine (Psychiatry & Neurology) Physician in Asheville, NC
• Providers in Asheville, NC by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.