Individual provider Active NPI

Norman Nowak Bircher, PAC

  • Medical Physician Assistant
  • Fort Meade, MD
National Provider Identifier
1790760072
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA002196L Issued in PA
Practice address
2480 Llewellyn Ave
Attn: MCXR-CR . Kimbrough Ambulatory Care Center
Ft Meade, MD 20755-5800
Phone
(301) 677-8270
Fax
(301) 677-8176
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA002196L PA Primary

Addresses

Primary practice location

2480 Llewellyn Ave
Attn: MCXR-CR . Kimbrough Ambulatory Care Center
Ft Meade, MD 20755-5800

Mailing address

5461 Nursery Rd
Dover, PA 17315-2335
Phone (717) 292-9720

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MA002196LPAMDMedical Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1790760072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5461 NURSERY RD",
            "city": "DOVER",
            "state": "PA",
            "postal_code": "173152335",
            "telephone_number": "717-292-9720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2480 LLEWELLYN AVE",
            "address_2": "ATTN: MCXR-CR . KIMBROUGH AMBULATORY CARE CENTER",
            "city": "FT MEADE",
            "state": "MD",
            "postal_code": "207555800",
            "telephone_number": "301-677-8270",
            "fax_number": "301-677-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRCHER",
        "first_name": "NORMAN",
        "middle_name": "NOWAK",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA002196L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Meade, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.