Individual
BENJAMIN BIRD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 W FOREST AVE FL 2, JACKSON, TN 38301-3937
(731) 541-9490
Mailing address
257 BANCORP SOUTH PKWY, JACKSON, TN 38305-7582
(731) 660-8759
(731) 660-8739
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
73930
TN
2084N0400X
Neurology Physician
MD219612
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2019
Last updated
07/24/2025
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