BIRCH KIMBROUGH MD NPI 1558319400

NPI Information

NPI: 1558319400
Provider Name: BIRCH KIMBROUGH, MD
Classification: Emergency Medicine - 207PE0004X
Entity Type: Individual

Specialization: Emergency Medical Services

PECOS Registration: Yes

Address:
901 W BEN WHITE BLVD
AUSTIN, TX
ZIP 78704
Phone: (512) 447-2211
Get Directions

Birch Kimbrough, MD is an emergency medical services emergency medicine in Austin, TX. The provider is an emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients. Birch Kimbrough, MD NPI is 1558319400. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

901 W BEN WHITE BLVD
AUSTIN, TX
ZIP 78704-903
Phone: (512) 447-2211

The NPI 1558319400 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/4/2006 and was last updated on 5/14/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207P00000X	Emergency Medicine		E2654	TEXAS	No
2	207PE0004X	Emergency Medicine	Emergency Medical Services	E2654	TEXAS	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	B23957	MEDICARE UPIN	TEXAS
2	128421804	MEDICAID	TEXAS
3	8A1870	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
4	84V203	MEDICARE ID-TYPE UNSPECIFIED	TEXAS
5	128421806	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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