Active NPI
Bruce E. Birkby, M.D.
- Allergy & Immunology Physician
- Lawrence, MA
National Provider Identifier
1932103298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 49426
- Practice address
- 500 Merrimack St
Riverwalk
Lawrence, MA 01843-1756 - Phone
- (978) 557-8900
- Fax
- (978) 557-8944
- NPI assigned
- Jun 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 49426 | MA | Primary |
Addresses
Primary practice location
500 Merrimack St
Riverwalk
Lawrence, MA 01843-1756
Mailing address
500 Merrimack St
Riverwalk
Lawrence, MA 01843-1756
Phone (978) 557-8900
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30004117 | Other | NH | NH MEDICAID |
| 3066533 | Medicaid | MA | |
| A66532 | Other | NV | ANTHEM BLUE CROSS |
| 4374789 | Other | AETNA - NON-HMO | |
| 67889 | Other | HEALTHSOURCE | |
| 02-00098 | Other | EVERCARE | |
| 049426 | Other | MA | TUFTS HEALTH PLAN |
| 1216 | Other | MA | HARVARD PILGRIM HEALTHCAR |
| 1932103298 | Other | AETNA - HMO | |
| 6287992 | Other | CIGNA HEALTHCARE | |
| J06948 | Other | MA | BLUE CROSS BLUE SHIELD |
| 030004806 | Other | RAILROAD MEDICARE | |
| 978456 | Other | NETWORK HEALTH | |
| 0012018 | Other | NEIGHBORHOOD HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 20, 2016 through Jun 20, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49426 | MA | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210377600000",
"number": "1932103298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 MERRIMACK ST",
"address_2": "RIVERWALK",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431756",
"telephone_number": "978-557-8900",
"fax_number": "978-557-8944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 MERRIMACK ST",
"address_2": "RIVERWALK",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431756",
"telephone_number": "978-557-8900",
"fax_number": "978-557-8944"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BIRKBY",
"first_name": "BRUCE",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-02",
"last_updated": "2008-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "MA",
"license": "49426",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NH MEDICAID",
"identifier": "30004117",
"state": "NH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3066533",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "A66532",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - NON-HMO",
"identifier": "4374789",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE",
"identifier": "67889",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "02-00098",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "049426",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "1216",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - HMO",
"identifier": "1932103298",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "6287992",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "J06948",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "030004806",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "978456",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0012018",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.