Gary William Bird, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E0816 Issued in TX

Practice address

774 Landa St
New Braunfels, TX 78130-6114

Phone

(830) 625-0305

Fax

(830) 625-2693

NPI assigned

Jul 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1720004930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 LANDA ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306114",
            "telephone_number": "830-625-0305",
            "fax_number": "830-625-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "774 LANDA ST",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781306114",
            "telephone_number": "830-625-0305",
            "fax_number": "830-625-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "GARY",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E0816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "83X650",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bill D. Davis MD PA
• Lori Binney, M.A. CCC-SLP
• Bio-Medical Applications of Texas, Inc.
• Rachel Leah Birch
• Amy Frances Birchill Lavergne, M.ED., LMFT-S, LPC-S
• Gilad David Birnbaum, MD
• Bethany Bishop, LMSW
• Jamie Bishop
• Christine Renee Black
• Justin Frederick Black, D.O.

• Family Medicine Physician in New Braunfels, TX
• Providers in New Braunfels, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.