Active NPI
James Daniel Bird Sr., PA-C
- Physician Assistant
- Washington, DC
National Provider Identifier
1609976125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2714
- Practice address
- U S Department of State
M/Med/Qi, Sa-1
Washington, DC 20522-0001 - Phone
- (914) 822-2649
- Fax
- (703) 343-8684
- NPI assigned
- Sep 24, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2714 | AZ | Primary |
Addresses
Primary practice location
U S Department of State
M/Med/Qi, Sa-1
Washington, DC 20522-0001
Mailing address
Department of State
American Embassy-Medical Unit
Apo, AE 09316
IQ
Phone (914) 822-2649
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2714 | AZ | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iliuliuk Family and Health Services Inc | Physician Assistant | Past | Accepting new patients |
| Iliuliuk Family &Health Services, Inc. | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Retail Pharmacy
- Unalaska, AK
- NPI 1760340905
-
- Federally Qualified Health Center (FQHC)
- Unalaska, AK
- NPI 1376520692
Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1609976125",
"addresses": [
{
"country_code": "IQ",
"country_name": "Iraq",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "DEPARTMENT OF STATE",
"address_2": "AMERICAN EMBASSY-MEDICAL UNIT",
"city": "APO",
"state": "AE",
"postal_code": "09316",
"telephone_number": "914-822-2649",
"fax_number": "703-343-8684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "U S DEPARTMENT OF STATE",
"address_2": "M/MED/QI, SA-1",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "205220001",
"telephone_number": "914-822-2649",
"fax_number": "703-343-8684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRD",
"first_name": "JAMES",
"middle_name": "DANIEL",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "2714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.