NPIMap

Individual provider Active NPI

Barbara A Birdwell, MD

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1760477160
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G8787 Issued in TX
Practice address
7100 Oakmont Blvd Ste 101
Fort Worth, TX 76132-3908
Phone
(817) 370-0400
Fax
(817) 370-0448
NPI assigned
Sep 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G8787 TX Primary

Addresses

Primary practice location

7100 Oakmont Blvd Ste 101
Fort Worth, TX 76132-3908

Mailing address

7100 Oakmont Blvd Ste 101
Fort Worth, TX 76132-3908
Phone (817) 370-0400

Other identifiers 2

IdentifierTypeStateIssuer
131569905MedicaidTX
080463501MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110214000506 TX Practitioner - Family Practice 0345207890 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinton Indian Health CenterGroup PAC ID 2163324237, 74 clinicians
El Reno Indian Health CenterGroup PAC ID 5193627263, 52 clinicians

Practice addresses (Care Compare)

10321 N
Suite 2274
Clinton, OK 73601-7521

10321 N 2274 Rd
Clinton, OK 73601-7521
Phone (580) 331-3410

1801 Parkview Dr
El Reno, OK 73036-2103
Phone (405) 234-5600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G8787TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinton Indian Health Center CurrentSince Feb 3, 2023 Accepting new patients
Santa Ana Health Center CurrentSince Jan 4, 2022 Accepting new patients
White Earth Indian Health Center CurrentSince May 1, 2021 Accepting new patients
Naytahwaush Health Center CurrentSince May 1, 2021 Accepting new patients
Pine Point Health Station Current Accepting new patients
El Reno Indian Health Center CurrentSince Feb 3, 2023 Accepting new patients
Watonga Indian Health Center CurrentSince Feb 3, 2023 Accepting new patients

Locations

40520 County Highway 34
#C
Ogema, MN 56569
Phone (218) 983-4300

40520 County Highway 34
Ogema, MN 56569
Phone (218) 983-4300

801 Vassar Dr NE
Albuquerque, NM 87106
Phone (505) 248-4000

2 Dove Rd
#C
Bernalillo, NM 87004
Phone (505) 867-2497

10321 N 2274 Rd
Clinton, OK 73601
Phone (580) 331-3300

1801 Parkview Dr
El Reno, OK 73036
Phone (405) 234-5600

1305 S Clarence Nash Blvd
Watonga, OK 73772
Phone (580) 623-4991

Interoperability endpoints

  • Direct secure messaging: barbara.birdwell.1@20443.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1760477160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323908",
            "telephone_number": "817-370-0400",
            "fax_number": "817-370-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7100 OAKMONT BLVD STE 101",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761323908",
            "telephone_number": "817-370-0400",
            "fax_number": "817-370-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRDWELL",
        "first_name": "BARBARA",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-13",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G8787",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131569905",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "080463501",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.