Individual provider Active NPI

Peter Williams Birch

  • Chiropractor
  • Longboat Key, FL
National Provider Identifier
1902499197
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
13327 Issued in FL
Practice address
6350 Gulf of Mexico Dr Ste 103B
Longboat Key, FL 34228-1501
Phone
(941) 899-5937
Fax
(941) 383-7742
NPI assigned
Feb 18, 2021
Last updated
Aug 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CH13327 FL
Chiropractor 111N00000X 13327 FL Primary

Addresses

Primary practice location

6350 Gulf of Mexico Dr Ste 103B
Longboat Key, FL 34228-1501

Mailing address

PO Box 8725
Longboat Key, FL 34228-8725
Phone (941) 224-9007

Other practice location 1

717 Saint Judes Dr S Apt 2
Longboat Key, FL 34228-1837
Phone (941) 224-9007

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

State licenses

LicenseStateTypeSpecialty
13327FLMDChiropractor
CH13327FLMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Wound Solutions LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1902499197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8725",
            "city": "LONGBOAT KEY",
            "state": "FL",
            "postal_code": "342288725",
            "telephone_number": "941-224-9007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6350 GULF OF MEXICO DR STE 103B",
            "city": "LONGBOAT KEY",
            "state": "FL",
            "postal_code": "342281501",
            "telephone_number": "941-899-5937",
            "fax_number": "941-383-7742"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 Saint Judes Dr S Apt 2",
            "address_purpose": "LOCATION",
            "city": "Longboat Key",
            "state": "FL",
            "postal_code": "342281837",
            "country_code": "US",
            "telephone_number": "941-224-9007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRCH",
        "first_name": "PETER",
        "middle_name": "WILLIAMS",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-18",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "CH13327",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "13327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longboat Key, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.