Dr. Juan C Bird, MD
Internal Medicine, Gastroenterology in Port St Lucie, Florida
1669606109- Practice location
- 10080 SW Innovation Way Ste 201, Port St Lucie, FL 34987-2129
- Phone
- 772-283-9111
- Fax
- 772-283-2955
- Last updated
- October 14, 2020
Juan C Bird is an Internal Medicine, Gastroenterology based in Port St Lucie, FL. Juan C Bird practices in Port St Lucie, FL and has the professional credentials of MD. The NPI Number for Juan C Bird is 1669606109 and holds a License No. 18180 (PR). The current practice location address for Juan C Bird is 10080 SW Innovation Way Ste 201, Port St Lucie, FL 34987-2129 and can be reached out via phone at 772-283-9111 and via fax at 772-283-2955.
Provider Profile Details
- NPI Number
- 1669606109
- Provider Name
- Juan C Bird
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 10080 SW Innovation Way Ste 201, Port St Lucie, FL 34987-2129
- Phone Number
- 772-283-9111
- Fax Number
- 772-283-2955
- Primary Taxonomy
- Internal Medicine, Gastroenterology · 207RG0100X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 13, 2009
- Last Update Date
- October 14, 2020
- Certification Date
- October 14, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 10080 SW Innovation Way Ste 201
Port St Lucie, FL 34987-2129 - City
- Port St Lucie
- State
- Florida
- Zip
- 34987-2129
- Phone Number
- 772-283-9111
- Fax Number
- 772-283-2955
Provider Business Mailing Address Details
- Address
- Po Box 417
Stuart, FL 34995-0417 - City
- Stuart
- State
- FL
- Zip
- 34995-0417
- Phone Number
- 772-223-2832
- Fax Number
- 772-223-2955
License Information
- License Number (1)
- 18180
- License State (1)
- PR
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- MD043743
- License State (2)
- DC
- Taxonomy (2)
- Internal Medicine, Gastroenterology · 207RG0100X
- License Number (3)
- ME133140
- License State (3)
- FL
- Taxonomy (3)
- Internal Medicine, Gastroenterology · 207RG0100X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Juan C Bird, MD?
The NPI number of Dr. Juan C Bird, MD is 1669606109. It was assigned on May 13, 2009 and is currently active in the NPPES registry.
What is the specialty of Dr. Juan C Bird, MD?
Dr. Juan C Bird, MD is registered under the primary taxonomy Internal Medicine, Gastroenterology (code 207RG0100X), licensed in PR under license number 18180.
Where does Dr. Juan C Bird, MD practice?
The practice location is 10080 SW Innovation Way Ste 201, Port St Lucie, FL 34987-2129. The office can be reached at 772-283-9111 (phone) or 772-283-2955 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1669606109 directly on the NPPES registry website.