MR. DERRICK L BIRMINGHAM


Address: 1957 Williamsbridge Rd, Bronx, NY 10461-1604
Phone: 7188286060

MR. DERRICK L BIRMINGHAM (NPI# 1952336380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1952336380
Entity Type Individual
Full Name MR. DERRICK L BIRMINGHAM
Credential RPA
Practice Address 1957 Williamsbridge Rd
Bronx
NY 10461-1604
Practice Telephone 7188286060
Practice Fax Number 7187921960
Mailing Telephone 7188286060
Mailing Fax Number 7187921960
Enumeration Date 2006-07-12
Last Update Date 2013-10-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant 003897-1 NY Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 02867449 05
NY 00245643 05

Office Location

Street Address 1957 WILLIAMSBRIDGE RD
City BRONX
State NY
Zip Code 10461-1604

Providers in the same location

NPI Name Taxonomy Address Enumeration
1851379911 Carlos Felix Driggs Internal Medicine 1957 Williamsbridge Rd, Bronx, NY 10461-1604 2006-01-08
1750489480 We Care Health & Medical Services, P.C. Internal Medicine 1957 Williamsbridge Rd, Bronx, NY 10461-1604 2006-09-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427665975 Zhanna Kleynerman Pharmacist R&a Drugs Inc, 2562 Est Tremont Ave, Bronx, NY 10461 2020-09-29
1245867738 Dalia Duzdar Student in an Organized Health Care Education/Training Program 1400 Pelham Pkwy S Building 6, Suite B125, Bronx, NY 10461 2020-03-24
1306486667 Alvin Antony Mathew Physical Therapist 1500 Blondell Ave., Bronx, NY 10461 2020-01-14
1295374007 Felicia Bowman Peer Specialist 55 Westchester Square Bronx, 55 Westchester Square Bronx, Bronx, NY 10461 2019-12-26
1477191161 Todd Benevento Jr. Physical Therapist 1250 Waters Place Tower One 10th Floor, Bronx, NY 10461 2019-12-13
1073173845 Harriet Sarpong-blankson Pharmacist Jack D Weiler Hospital, 1825 Eastchester Road, Bronx, NY 10461 2019-06-14
1396300166 Victoria Sliva Psychologist 1400 Pelham Pkwy S Bldg 19w, Bldg 1, 9w, Bronx, NY 10461 2019-05-07
1538723366 Shuai Wang Student in an Organized Health Care Education/Training Program 1400 Pelham Parkway South Jacobi Medical Center, Bronx, NY 10461 2019-04-26
1457810079 Morpheus Sleep Solutions Inc Durable Medical Equipment & Medical Supplies 3004 Middletown Road, Lower Level Unit 1, Bronx, NY 10461 2019-03-13
1922565118 Metro Care Management LLC Case Management 2481 Rowe St, Bronx, NY 10461 2019-02-25
Find all providers in zip 10461

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1982242319 Leonard Ohene Takyi Physician Assistant 4180 Hutchinson River Pkwy E Apt 8c, Bronx, NY 10475-4826 2019-12-16
1669018032 Natasha Kodua Physician Assistant 140 Asch Loop Apt 9e, Bronx, NY 10475-4040 2019-11-20
1073158010 Abdoulaye Diallo Physician Assistant 1223 Tinton Ave Fl 3, Bronx, NY 10456-3673 2019-11-13
1538703954 Frank Owusu Physician Assistant 500 E 165th St Apt 2e, Bronx, NY 10456-6658 2019-10-29
1629534649 David A Rivera Physician Assistant 2105 Cruger Ave Apt 3g, Bronx, NY 10462-2363 2019-02-14
1679037980 Ryan Patrick Garrow Physician Assistant 1200 Waters Pl Ste M108, Bronx, NY 10461-0367 2019-01-31
1336603331 Joseph A Sanchez Physician Assistant 6 Ploughmans Bush, Bronx, NY 10471-3541 2019-01-24
1639651581 Aaron Sosa Physician Assistant Tower 1, 1250 Waters Pl 11th Fl, Bronx, NY 10461 2018-09-06
1275032542 Ahmed Mahir Physician Assistant 32 Westchester Sq, Bronx, NY 10461-3514 2018-02-01
1730601113 Alexandra Taylor Martin Physician Assistant 661 King Avenue, Bronx, NY 10464 2017-07-07
Find all providers in BRONX

Competitor

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City BRONX
Zip Code 10461

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Dataset Information

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.

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