Randolf A Birken, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

E8332 Issued in TX

Practice address

4185 Technology Forest Blvd
Suite 190
The Woodlands, TX 77381-2004

Phone

(281) 893-1246

Fax

(831) 813-7462

NPI assigned

Feb 8, 2006

Last updated

Sep 21, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

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.

Opted out of Medicare

Yes, effective Jul 1, 2013 through Jul 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316563200000",
    "number": "1740253012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4185 TECHNOLOGY FOREST BLVD",
            "address_2": "SUITE 190",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773812004",
            "telephone_number": "281-893-1246",
            "fax_number": "832-813-7452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4185 TECHNOLOGY FOREST BLVD",
            "address_2": "SUITE 190",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773812004",
            "telephone_number": "281-893-1246",
            "fax_number": "831-813-7462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRKEN",
        "first_name": "RANDOLF",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2011-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "E8332",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00ME87",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bio-Medical Applications of Texas, Inc. (Cypress Creek Dialysis)
• Bioprorestore LLC
• Bios Scientific, LLC
• Kasey Bippus
• Madelyn N Birkelbach, AU.D.
• Michelle Bishop, LPC
• Byron Black, PT, DPT
• Thomas Daniel Black, M.D.
• David Waits Blackshear, NURSE PRACTITIONER
• Olivia Blandford, PHD

• Gynecology Physician in The Woodlands, TX
• Providers in The Woodlands, TX by specialty
• Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.