DR. MARK A BIRMINGHAM (NPI# 1396913117) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396913117 |
| Entity Type | Individual |
| Full Name | DR. MARK A BIRMINGHAM |
| Credential | DPM |
| Practice Address |
2750 Broadway St Boulder CO 80304-3573 |
| Practice Telephone | 3034403036 |
| Practice Fax Number | 3034403232 |
| Mailing Telephone | 3034403036 |
| Mailing Fax Number | 3034403232 |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2017-01-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
POD.0000683 | CO | Podiatric Medicine & Surgery Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538528641 | Mark Robert Birmingham | Dentist | 4501 E Snider Dr, Wasilla, AK 99654-7604 | 2016-02-17 |
| Street Address |
2750 BROADWAY ST |
| City | BOULDER |
| State | CO |
| Zip Code | 80304-3573 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275537078 | Emma E.k. Mccarty | Internal Medicine | 2750 Broadway St, Boulder, CO 80304-3573 | 2005-06-09 |
| 1528675121 | Jennifer Turf | Pharmacist | 2750 Broadway St, Boulder, CO 80304-3586 | 2020-09-28 |
| 1174130702 | Dave Milton | Pharmacist | 2750 Broadway St, Boulder, CO 80304-3586 | 2020-09-28 |
| 1437778057 | Poudre Valley Medical Group, LLC | Internal Medicine | 2750 Broadway St, Boulder, CO 80304-3573 | 2020-04-14 |
| 1013551852 | Reform Health & Rehab, LLC | Clinic/Center | 2750 Broadway St, Boulder, CO 80304-3573 | 2019-11-05 |
| 1477101608 | Boulder Community Health | Clinic/Center | 2750 Broadway St, Boulder, CO 80304-3586 | 2019-08-30 |
| 1144878208 | Boulder Community Health | Clinical Medical Laboratory | 2750 Broadway St, Boulder, CO 80304-3573 | 2019-08-30 |
| 1114579950 | Aaron M Shaver | Physical Therapist | 2750 Broadway St, Boulder, CO 80304-3573 | 2019-07-11 |
| 1962973099 | Alena Mecomber | Social Worker | 2750 Broadway St, Boulder, CO 80304-3573 | 2018-12-16 |
| 1396227864 | Kelly Korte | Nurse Practitioner | 2750 Broadway St, Boulder, CO 80304-3573 | 2018-08-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720605256 | Evol.v Chiropractic LLC | Chiropractor | 2401 Broadway #208, Boulder, CO 80304 | 2020-07-01 |
| 1760038723 | Patrica Anne Zeyher | Counselor | 100 Alpine Ave., Boulder, CO 80304 | 2019-08-15 |
| 1356855928 | Opal Counseling Center, LLC | Counselor | 1480 Lee Hill Dr. #7, Boulder, CO 80304 | 2017-11-19 |
| 1831608603 | Lesley Ann Cloke | Dietitian, Registered | 1895 Bluff St., Unit C, Boulder, CO 80304 | 2017-09-25 |
| 1790209740 | Megan Litwiller | Occupational Therapist | 810 Maxwell Ave, Boulder, CO 80304 | 2017-08-01 |
| 1285163774 | Nadine Martin | Registered Nurse | 311 Mapleton Ave # 331, Boulder, CO 80304 | 2017-06-08 |
| 1598119281 | Megan Cronin Larson | Social Worker | 825 S. Broadway Street, Boulder, CO 80304 | 2016-04-19 |
| 1760844237 | Rafia Rebeck | Counselor | 1235 Elder Ave #7, Boulder, CO 80304 | 2016-03-24 |
| 1629441688 | Jennifer S Delaney | Counselor | 2334 Broadway, Ste. B, Boulder, CO 80304 | 2015-11-12 |
| 1891162301 | Kingston Dialysis LLC | Clinic/Center | 2880 Folsom St Ste 110, Boulder, CO 80304 | 2015-09-01 |
| Find all providers in zip 80304 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154890291 | Brian P Gradisek Dpm Pllc | Podiatrist | 1400 28th St Ste 2, Boulder, CO 80303-1096 | 2018-11-19 |
| 1336396308 | Kristine Marie Hoffman | Podiatrist | 3000 Center Green Dr, Suite 210, Boulder, CO 80301-2364 | 2008-08-21 |
| 1710168786 | Foot and Ankle Care of Boulder County, LLC | Podiatrist | 1400 28th St, Suite 2, Boulder, CO 80303-1096 | 2007-11-19 |
| 1659417731 | Tara T Parks | Podiatrist | 2750 Broadway St, Boulder, CO 80304-3573 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003449521 | Foot and Ankle Center of The Rockies LLC | Podiatrist | 1305 Sumner St Unit 200, Longmont, CO 80501-3270 | 2020-02-13 |
| 1740825397 | Valley View Hospital Association | Podiatrist | 1450 E Valley Rd Unit 202, Basalt, CO 81621-8352 | 2019-11-07 |
| 1275966004 | Kyle S Nay | Podiatrist | 1825 E Main St Ste A, Montrose, CO 81401-3848 | 2013-08-15 |
| 1467893131 | Blake Hines | Podiatrist | 12201 Pecos St Ste 400, Westminster, CO 80234-3994 | 2013-07-10 |
| 1841630225 | Andrew Steven Bernhard | Podiatrist | 842 Summit Blvd, #15, Frisco, CO 80443 | 2013-06-28 |
| 1730528001 | Keleigh A Muxlow | Podiatrist | 3740 Dacoro Ln Ste 105, Castle Rock, CO 80109-2515 | 2013-06-20 |
| 1104262922 | Altitude Foot & Ankle Center | Podiatrist | 1138 Olympia Ave, Unit B, Longmont, CO 80504-2382 | 2013-05-20 |
| 1275898355 | Sarah Mae Thompson | Podiatrist | 1619 N Greenwood St Ste 300, Pueblo, CO 81003-2657 | 2012-07-05 |
| 1912261074 | Morgan Johonn Kizzar | Podiatrist | 604 S 9th St, Canon City, CO 81212-4910 | 2012-07-03 |
| 1184905887 | Brian Michael Oase | Podiatrist | 7505 Village Square Dr Ste 101, Castle Pines, CO 80108-3693 | 2011-09-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.