Gary Birnbaum, M.D.
Individual provider Active NPI Neurology Physician · Golden Valley, MN
NPI 1902850159 · NPPES record last updated Jul 11, 2007
Key facts
- NPI
- 1902850159
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Neurology Physician 2084N0400X
- License
- 23916 (MN)
- Practice address
- 4225 Golden Valley Rd
Golden Valley, MN 55422-4215 - Phone
- (763) 588-0661
- Fax
- (763) 287-2310
- NPI assigned
- May 20, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23916 | MN | MD | Neurology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 23916 | MN | Yes |
Addresses
Primary practice location
4225 Golden Valley Rd
Golden Valley, MN 55422-4215
Mailing address
4225 Golden Valley Rd
Golden Valley, MN 55422-4215
Phone (763) 588-0661
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| HP21939 | Other | MN | HEALTHPARTNERS |
| 0507277 | Other | MN | MEDICA |
| 1008983 | Other | MN | PREFERRED ONE |
| 765068 | Other | MN | AMERICA'S PPO |
| 30228900 | Medicaid | WI | |
| 36B41BI | Other | MN | BCBS OF MN |
Other providers in Golden Valley, MN
- Kelly Berth
- Theresa Kaye Best
- Ashley Bethke
- Bio-Medical Applications of Minnesota, Inc.
- Birch Lake Relational Therapy LLC
- Lynne Anne Bisagno
- Assiat Bjadtoeva Boke
- Beth Joyce Bjork
- Molly S Blackmore
- Amy J Blehert
All providers in Golden Valley, MN · Neurology Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 11, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.