Active NPI
Gary Joseph Birdsall, M.D.
- Family Medicine Physician
- Cut Off, LA
National Provider Identifier
1649213596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 017642
- Practice address
- 102 W 112TH St
Cut Off, LA 70345-3628 - Phone
- (985) 632-5222
- Fax
- (985) 632-4222
- NPI assigned
- Jun 14, 2006
- Last updated
- Mar 27, 2014
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 017642 | LA | Primary |
Addresses
Primary practice location
102 W 112TH St
Cut Off, LA 70345-3628
Mailing address
102 W 112TH St
Cut Off, LA 70345-3628
Phone (985) 632-5222
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- 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
Practice addresses (Care Compare)
102 W 112TH St
Cut Off, LA 70345-3628
Phone (985) 632-5222
Hospital & facility affiliations
- Lady of the Sea Home Health Agency
- Amedisys Home Health
- Lady of the Sea General Hospital
- Ochsner St Anne General Hospital
- Thibodaux Regional Medical Center
- Terrebonne General Medical Center - Parish
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017642 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Gary Birdsall Medical Clinic LLC | Family Medicine | Current | Accepting new patients |
| Lafourche Parish Hospital Service District No.1 | Past | Accepting new patients |
Locations
102 W 112th St
Cut Off, LA 70345
Phone (985) 632-5222
17771 Highway 3235
Galliano, LA 70354
Phone (985) 632-5222
Interoperability endpoints
- gary.birdsall.1@13021.direct.athenahealth.com
- gary.birdsall.2@748.direct.athenahealth.com
- https://api.platform.athenahealth.com/13021/brand/1/csg/1/fhir/r4
- https://fhir4.healow.com/fhir/r4/DDEAED/Endpoint/DDEAED
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Cut Off, LA
- NPI 1245667823
-
dba Lady of the Sea General Hospital
- Medicare Defined Swing Bed Hospital Unit
- Cut Off, LA
- NPI 1043358120
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Lady of the Sea Home Health Agency
- Home Health Agency
- Cut Off, LA
- NPI 1376547653
-
dba Lady of the Sea General Hospital
- Critical Access Hospital
- Cut Off, LA
- NPI 1407883341
-
dba Ochsner St. Anne General Hospital
- Critical Access Hospital
- Raceland, LA
- NPI 1396761805
-
dba Terrebonne General Medical Center
- General Acute Care Hospital
- Houma, LA
- NPI 1518924109
-
- General Acute Care Hospital
- Thibodaux, LA
- NPI 1902465065
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}Other providers in Cut Off, LA
Sources for this page
- 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.