Individual provider Active NPI

Forrest Douglas Littlebird II, DO, MPH, DTMH

  • Preventive Medicine/Occupational Environmental Medicine Physician
  • Jbsa-Lackland, TX
National Provider Identifier
1851367205
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preventive Medicine/Occupational Environmental Medicine PhysicianTaxonomy code 2083P0500X
License
20A5893 Issued in CA
Practice address
147 Voyager Rd
Jbsa-Lackland, TX 78236-5116
Phone
(210) 671-6539
NPI assigned
Feb 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A5893 CA
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X DOS-670 HI
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X 20A5893 CA Primary

Addresses

Primary practice location

147 Voyager Rd
Jbsa-Lackland, TX 78236-5116

Mailing address

403 La Jara Blvd
San Antonio, TX 78209-3637
Phone (210) 671-6539

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
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A5893CAMDFamily Medicine Physician
DOS-670HIMDPreventive Medicine/Occupational Environmental Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1140998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1851367205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 LA JARA BLVD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782093637",
            "telephone_number": "210-671-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 VOYAGER RD",
            "city": "JBSA-LACKLAND",
            "state": "TX",
            "postal_code": "782365116",
            "telephone_number": "210-671-6539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLEBIRD",
        "first_name": "FORREST",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DO, MPH, DTMH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-27",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A5893",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "HI",
            "license": "DOS-670",
            "primary": false
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "20A5893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jbsa-Lackland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2018; 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.