Robert D Birch DO PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

221500441204 Issued in UT

Legal business name

ROBERT D BIRCH DO PC

Practice address

501 Chipeta Way
Suite 1214
Salt Lake City, UT 84108-1222

Phone

(801) 587-3218

Fax

(801) 587-3303

NPI assigned

Jan 30, 2012

Organization subpart

No

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

Authorized official

Name

Robert D Birch, D.O.

Title

Physician

Phone

(801) 587-3218

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1932471471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CHIPETA WAY",
            "address_2": "SUITE 1214",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081222",
            "telephone_number": "801-587-3218",
            "fax_number": "801-547-1929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CHIPETA WAY",
            "address_2": "SUITE 1214",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841081222",
            "telephone_number": "801-587-3218",
            "fax_number": "801-587-3303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT D BIRCH DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "BIRCH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "801-587-3218",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "221500441204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "499422678001",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taya Marie-Clair Robbinson
• Darrell Allan Roberge, D.O.
• Erika Roberge, PHD
• Amy Roberson, MS
• Lilly Roberson
• Robert D. Hill PHD Abpp PLLC
• Robert G Peterson, MD, PC
• Robert Jay Thomas Jr PHD PC
• Robert Jay Thomas Jr PHD PC
• Robert S Palmer DDS PC

• Psychiatry Physician in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Psychiatry Physician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.