Organization Active NPI

Gregory Birch D.P.M

  • Customized Equipment (DME)
  • Brooklyn, NY
National Provider Identifier
1659553311
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
N002931 Issued in NY
Legal business name
GREGORY BIRCH D.P.M
Practice address
6419 Bay Pkwy
Brooklyn, NY 11204-3930
Phone
(718) 232-6737
Fax
(718) 331-9709
NPI assigned
Dec 4, 2007
Last updated
Jun 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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

Authorized official

Name
Dr. Gregory M Birch, D.P.M
Title
Owner
Phone
(718) 232-6737

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X N002931 NY
Customized Equipment (DME) 332BC3200X N002931 NY Primary
Podiatrist 213E00000X N002931 NY

Addresses

Primary practice location

6419 Bay Pkwy
Brooklyn, NY 11204-3930

Mailing address

6419 Bay Pkwy
Brooklyn, NY 11204-3930
Phone (718) 232-6737

Other identifiers 1

IdentifierTypeStateIssuer
00405321MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213574400000",
    "number": "1659553311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6419 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043930",
            "telephone_number": "718-232-6737",
            "fax_number": "718-331-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6419 BAY PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112043930",
            "telephone_number": "718-232-6737",
            "fax_number": "718-331-9709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREGORY BIRCH D.P.M",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-04",
        "last_updated": "2008-06-16",
        "status": "A",
        "authorized_official_last_name": "BIRCH",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-232-6737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "N002931",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "N002931",
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "N002931",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00405321",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.