NPIMap

Individual provider Active NPI

Max Birkhold

  • Physician Assistant
  • Taunton, MA
National Provider Identifier
1689069932
Registry record updated Jan 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA5696 Issued in MA
Practice address
88 Washington St
Taunton, MA 02780-2465
Phone
(508) 828-7000
NPI assigned
Apr 3, 2015
Last updated
Jan 20, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA5696 MA Primary
Medical Physician Assistant 363AM0700X PA 9108624 FL

Addresses

Primary practice location

88 Washington St
Taunton, MA 02780-2465

Mailing address

88 Washington St
Taunton, MA 02780-2465
Phone (508) 828-7000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150609001053 FL Practitioner - Physician Assistant 1850612391 Reassigns benefits to 1 organization
I20160721001260 MA Practitioner - Physician Assistant 1850612391 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Lifespan Physician Group of Massachusetts IncGroup PAC ID 3870020399, 458 clinicians

Practice addresses (Care Compare)

88 Washington St
Taunton, MA 02780-2465
Phone (508) 828-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.49 of 100Reported as group
Quality
69.5
Promoting interoperability
100
Improvement activities
40
Cost
72.15

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA5696MAMDPhysician Assistant
PA 9108624FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carecentral Urgent Care Medical Group PC CurrentSince Nov 2, 2023 Accepting new patients
Lifespan Physician Group of Massachusetts Inc CurrentSince Sep 26, 2025 Accepting new patients
Urgent Help Chelmsford PC CurrentSince Oct 1, 2021 Accepting new patients
Sturdy Memorial Hospital Inc CurrentSince Jul 24, 2024 Accepting new patients
Lifespan Corporation Current Accepting new patients
Carecentral Urgent Care Medical Group PC CurrentSince Nov 2, 2023 Accepting new patients
Orlando Carenow Urgent Care LLC Past Accepting new patients
Premiere Care Providers LLC PastSince Sep 10, 2021 Accepting new patients

Locations

45 Drum Hill Rd
Chelmsford, MA 01824
Phone (978) 446-7515

531 Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 991-2255

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

286 Washington St
Stoughton, MA 02072
Phone (781) 341-2800

88 Washington St
Taunton, MA 02780
Phone (508) 828-7000

Interoperability endpoints

  • Direct secure messaging: mbirkhold235769@brownhealth.medalliesdirect.net

Organizations & group practices 11

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484870400000",
    "number": "1689069932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 WASHINGTON ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802465",
            "telephone_number": "508-828-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 WASHINGTON ST",
            "city": "TAUNTON",
            "state": "MA",
            "postal_code": "027802465",
            "telephone_number": "508-828-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRKHOLD",
        "first_name": "MAX",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2017-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA5696",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA 9108624",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taunton, MA

Sources for this page

Verify at the official NPI Registry.