Bird, Gordon

Bird, Gordon is an individual health care provider with primary practice located at 777 North St Suite 207, Pittsfield MA 01201-4147. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bird, Gordon can be contacted via phone (413) 499-8510.

Contact Information

Primary practice address
777 North St Suite 207 Pittsfield MA 01201-4147
Phone: (413) 499-8510
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 37611 Massachusetts

Profile Details

NPI number 1225021603
LBN Legal business name Bird, Gordon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2005
Last updated Feb 4th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225021603 NPPES
Massachusetts Other I22210 BCBS
Massachusetts Other 000000020927 BCBS
Massachusetts Other 759786 BCBS
Massachusetts MEDICAID 0150444 BCBS
Massachusetts Other 110212054 BCBS
Massachusetts Other A55970 BCBS
Massachusetts Other 10641 BCBS
Massachusetts Other 043531502 BCBS
Massachusetts Other 387192 BCBS
Massachusetts Other 10034386 BCBS
Massachusetts Other 043531502 BCBS
Massachusetts Other 043531502 BCBS
Massachusetts Other 346297 BCBS

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