Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JONATHON M BIRD, MD
ActiveJONATHON M BIRD, MD is a Family Medicine healthcare provider located in BLOOMSDALE, Missouri. NPI 1568457463 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · BLOOMSDALE, MO
Registration Details
- NPI Number
- 1568457463
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 16, 2005 (20.731343802691 yrs)
- Last Updated
- Feb 26, 2021
- Licenses
-
R9D20 (MO)R9D20 (MO)
Practice Information
- Address
-
255 BODERMANBLOOMSDALE, MO, 636279099Browse MO providers · Browse ZIP 63627
- Phone
- 5734839492
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
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.