Individual
MR. GORDON BIRD
Active
Individual
MR. GORDON BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37611
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000020927
HEALTHNET
MA
05
—
0150444
—
MA
01
—
043531502
CIGNA INDEMNITY
MA
01
—
10034386
CAPITAL PHYSICIANS HEALTH
MA
01
—
10641
HEALTH NEW ENGLAND
MA
01
—
110212054
RAILROAD MEDICARE
MA
01
—
346297
MVP
MA
01
—
387192
CIGNA/HEALTHSOURCE
MA
01
—
759786
TUFTS
MA
01
—
A55970
HARVARD
MA
01
—
I22210
BCBS
MA
Enumeration date
08/31/2005
Last updated
02/04/2010
Update your record
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