Active NPI
Brandon L Birdow
- Clinical Medical Laboratory
- San Antonio, TX
National Provider Identifier
1821741448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Practice address
- 5239 Eisenhauer Rd Apt 811
San Antonio, TX 78218-3707 - Phone
- (210) 580-4002
- NPI assigned
- Feb 2, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
5239 Eisenhauer Rd Apt 811
San Antonio, TX 78218-3707
Mailing address
5239 Eisenhauer Rd Apt 811
San Antonio, TX 78218-3707
Phone (210) 580-4002
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://alln1labservices.com | Direct |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643760000000",
"number": "1821741448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5239 EISENHAUER RD APT 811",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782183707",
"telephone_number": "210-580-4002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5239 EISENHAUER RD APT 811",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782183707",
"telephone_number": "210-580-4002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRDOW",
"first_name": "BRANDON",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-02",
"last_updated": "2022-02-02",
"certification_date": "2022-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://alln1labservices.com",
"affiliation": "N",
"endpointDescription": "Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Web Address",
"address_1": "5239 Eisenhauer Rd Apt 811",
"city": "San Antonio",
"state": "TX",
"country_code": "US",
"postal_code": "782183707",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.