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KENNETH WAYNE BIRGE MD NPI 1194896720


NPI Information

NPI: 1194896720
Provider Name: KENNETH WAYNE BIRGE, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: SUMMIT FAMILY MEDICAL CENTER

PECOS Registration: Yes

Address:
902 N HERSHEY RD
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 662-6880
Get Directions

Kenneth Wayne Birge, MD is a family medicine in Bloomington, IL with 38 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Kenneth Wayne Birge, MD NPI is 1194896720. 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:

902 N HERSHEY RD
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 662-6880
Fax: (309) 662-7385

The NPI 1194896720 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Urinalysis, manual test (HCPCS:81002)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Destruction of skin growth (HCPCS:17000)

The enumeration date for this NPI number is 11/13/2006 and was last updated on 1/25/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine036078947ILLINOISYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1E06625MEDICARE UPIN
2036078947MEDICAIDILLINOIS
3905012MEDICARE ID-TYPE UNSPECIFIED
4010045844OTHERRR MEDICARE
50540005535OTHERILLINOISBLUE CROSS BLUE SHIELD

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.