Individual provider Active NPI

Alan M. Birnbaum, M.D.

  • Neurology Physician
  • Fresno, CA
National Provider Identifier
1912937186
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G32784 Issued in CA
Practice address
1275 E Spruce Ave Ste 101
Fresno, CA 93720-3345
Phone
(559) 226-0848
Fax
(559) 248-9585
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X G32784 CA Primary

Addresses

Primary practice location

1275 E Spruce Ave Ste 101
Fresno, CA 93720-3345

Mailing address

1275 E Spruce Ave Ste 101
Fresno, CA 93720-3345
Phone (559) 226-0848

Other identifiers 1

IdentifierTypeStateIssuer
G32784OtherCASTATE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20060417000243 CA Practitioner - Neurology 5395754543 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Vanderbilt University School of Medicine, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saint Agnes Medical Foundation 161 clinicians
Saint Agnes Medical Center 45 clinicians

Practice addresses (Care Compare)

1221 E Spruce Ave
Fresno, CA 93720-3374
Phone (559) 450-5777

1303 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-3301

1379 E Herndon Ave
Fresno, CA 93720-3309
Phone (559) 450-6388

Hospital & facility affiliations

  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Home Health Services CurrentSince Jul 1, 2015 Accepting new patients
Long Term Care Medical Group, Inc CurrentSince Jan 13, 2020 Accepting new patients
Spruce Multispeciatly Group Neurology CurrentSince May 1, 2006 Accepting new patients
Saint Agnes Medical Foundation CurrentSince Nov 1, 2022 Accepting new patients
Saint Agnes Medical Center CurrentSince Jul 1, 2015 Accepting new patients
LQMG Medical Group Inc. Current Accepting new patients

Locations

7202 N Millbrook Ave
Ste 2
Fresno, CA 93720
Phone (559) 449-2930

1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000

1221 E Spruce Ave
Fresno, CA 93720
Phone (559) 449-5777

1275 E Spruce Ave
Ste 101
Fresno, CA 93720
Phone (559) 226-0848

925 N Cornelia Ave
Fresno, CA 93706
Phone (559) 275-4785

685 W Alluvial Ave
Ste 103
Fresno, CA 93711
Phone (559) 274-6444

Interoperability endpoints

  • Direct secure messaging: alan.birnbaum@spruce.directbygreenway.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61163
  • Direct secure messaging: abirnbaum2721580@direct.trinity-health.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Saint Agnes Medical CenterFresno, CA, CCN 050093 Hospital Corporate Director Jan 1, 2025

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912937186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 E SPRUCE AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203345",
            "telephone_number": "559-226-0848",
            "fax_number": "559-248-9585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 E SPRUCE AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203345",
            "telephone_number": "559-226-0848",
            "fax_number": "559-248-9585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIRNBAUM",
        "first_name": "ALAN",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G32784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "G32784",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.