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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. ALAN J BIRNBAUM, MD

Deactivated Sole Proprietor

MR. ALAN J BIRNBAUM, MD is a Rheumatology healthcare provider located in SOUTH BEND, Indiana. NPI 1124057419 is deactivated in the NPPES registry. Verify at CMS.

Rheumatology · SOUTH BEND, IN

This NPI has been deactivated. The record was deactivated on July 23, 2007. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1124057419
Provider Type
Individual
Gender
Male
NPI Issued
Jul 1, 2006 (1.0601092896175 yrs)
Last Updated
Dec 14, 2007
Deactivated
Jul 23, 2007
Licenses
01039340 (IN)
01039340A (IN)
Sole Proprietor
Yes

Practice Information

Address
100 NAVARRE PL
SUITE 5570
SOUTH BEND, IN, 466011169
Browse IN providers · Browse ZIP 46601
Phone
5742336620
Fax
5742336224
Primary Specialty
Rheumatology
207RR0500X
Additional Specialty
Rheumatology

Other Rheumatology Providers in SOUTH BEND, IN

Name Credential NPI
DR. BRENT W MOHR MD 1710977319
NATALIE RENEE SESSIONS D.O. 1992997175
JAHANZEB SAEED DO 1285263251
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.