Gary Joseph Birdsall, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

017642 Issued in LA

Practice address

102 W 112TH St
Cut Off, LA 70345-3628

Phone

(985) 632-5222

Fax

(985) 632-4222

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in LA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Louisiana State University School of Medicine in New Orleans, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Dr. Gary Birdsall Medical Clinic LLCGroup PAC ID 5294966420, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lady of the Sea Home Health Agency Home health agency, Cut Off, LA, CCN 197206
• Amedisys Home Health Home health agency, Houma, LA, CCN 197167
• Lady of the Sea General Hospital Hospital, Cut Off, LA, CCN 191325
• Ochsner St Anne General Hospital Hospital, Raceland, LA, CCN 191324
• Thibodaux Regional Medical Center Hospital, Thibodaux, LA, CCN 190004
• Terrebonne General Medical Center - Parish Hospital, Houma, LA, CCN 190008

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DDEAED/Endpoint/DDEAED
• Direct secure messaging: gary.birdsall.1@13021.direct.athenahealth.com
• Direct secure messaging: gary.birdsall.2@748.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/13021/brand/1/csg/1/fhir/r4

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.

• Dr. Gary Birdsall Medical Clinic LLC

  • Family Medicine Physician
  • Cut Off, LA
  • NPI 1245667823
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Louisiana, LLC

  • Home Health Agency
  • Houma, LA
  • NPI 1760430441
  Care Compare affiliation
• Lafourche Parish Hospital Service District No.1

  • Home Health Agency
  • Cut Off, LA
  • NPI 1376547653
  Care Compare affiliation
• Lafourche Parish Hospital Service District No.1

  • Critical Access Hospital
  • Cut Off, LA
  • NPI 1407883341
  Care Compare affiliation
• Ochsner Bayou LLC

  • Critical Access Hospital
  • Raceland, LA
  • NPI 1396761805
  Care Compare affiliation
• Terrebonne Parish Hospital Service District #1

  • General Acute Care Hospital
  • Houma, LA
  • NPI 1518924109
  Care Compare affiliation
• Thibodaux Regional Health System Inc

  • General Acute Care Hospital
  • Thibodaux, LA
  • NPI 1902465065
  Care Compare affiliation

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395878400000",
    "number": "1649213596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 W 112TH ST",
            "city": "CUT OFF",
            "state": "LA",
            "postal_code": "703453628",
            "telephone_number": "985-632-5222",
            "fax_number": "985-632-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 W 112TH ST",
            "city": "CUT OFF",
            "state": "LA",
            "postal_code": "703453628",
            "telephone_number": "985-632-5222",
            "fax_number": "985-632-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDSALL",
        "first_name": "GARY",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2014-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "017642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366145",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Barbier, MS, ATC, LAT
• Lance Paul Baye, DC
• Bayou Hearing Clinic, LLC
• Bayou Radiology, Inc
• Bayouchiro, LLC
• Kandice Birdsall, MOT, LOTR
• Monte M Bonneval, MD
• Clayton Bossier, N.P.
• Bryan Anthony Bouzigard, D.D.S.
• Johnny J Bouzigard, DDS

• Family Medicine Physician in Cut Off, LA
• Providers in Cut Off, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.