Bird, Martha
Bird, Martha is an individual health care provider with primary practice located at 2 Professional Park Dr Ste 21 , Johnson City TN 37604-6584. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is her primary health care specialty. Bird, Martha can be contacted via phone (423) 379-8120.Contact Information
Primary practice address
2 Professional Park Dr Ste 21
Johnson City TN 37604-6584
Phone: (423) 379-8120
Fax: (423) 379-8153
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 45132 | Tennessee |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 45132 | Tennessee |
Profile Details
| NPI number | 1417138512 |
|---|---|
| LBN Legal business name | Bird, Martha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2007 |
| Last updated | Jan 16th, 2024 - about 10 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417138512 | NPPES |
| Tennessee | Other | 3714470 | GROUP TN MEDICARE NUMBER |
| Tennessee | MEDICAID | 1514506 | GROUP TN MEDICARE NUMBER |
Popular Providers
-
Chua, Corazon Ng
2483 Highway 644 107 , Louisa KY 41230 -
Bisht, Geeta B
2410 N Glendale Dr Ste A , Fort Wayne IN 46804-8909 -
Speer, Connie Lou
1407 M D Ln Ste A, Tallahassee FL 32308-5349 -
Alimasuya, Joseph
6777 N Willow Ave , Fresno CA 93710-5900 -
Musil, Clinton Allen
109 West Watauga Avenue , Johnson City TN 37604 -
Mccormick, Thomas R
24001 Greater Mack Ave Ste B, St Clair Shores MI 48080-1407 -
Gronstedt, Gary J.
3501 Mills Ave , Austin TX 78731-6309 -
Clein, Paul David
2911 Brunswick Rd Lakeside Hospital, Memphis TN 38133