Jayne E Bird, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

MD453889 Issued in PA

Practice address

1516 Locust St
Philadelphia, PA 19102-4409

Phone

(215) 545-5458

NPI assigned

Jun 8, 2011

Last updated

Jun 29, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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.

Enrollment records 1

Specialty

Dermatology

Education

New York Medical College, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Embrace Dermatology and Aesthetics, LLCGroup PAC ID 0648676296, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jbird@embracederm.emadirect.md

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

• Embrace Dermatology and Aesthetics, LLC

  • Dermatology Physician
  • Philadelphia, PA
  • NPI 1235714411
  Medicare reassignment Care Compare group NPD
• Embrace Dermatology and Aesthetics, LLC

  • Dermatology Physician
  • Collingswood, NJ
  • NPI 1598686610
  NPD (past)

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

{
    "created_epoch": "1307491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435536000000",
    "number": "1871887620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 LOCUST ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024409",
            "telephone_number": "215-545-5458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRD",
        "first_name": "JAYNE",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-08",
        "last_updated": "2015-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "PA",
            "license": "MD453889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Rettman Birchenough, CRNA
• Cathy Diane Birckett, M.S.W.
• Alan Bird
• Amber-Nicole Bird, M.D.
• Geoffrey L Bird, M.D.
• Jessica Bird, CRNP
• Luis Bird, M.D.
• Shawn J Bird, MD
• Sheila Bird, CRNP
• Catherine Leigh Birdsall, CRNP

• Specialist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Specialist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.