Individual
MR. JOSEPH SIMMONS BIRD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7407 ZIEGLER ROAD, CHATTANOOGA, TN 37421-3157
(423) 899-0500
(423) 899-2411
Mailing address
P.O. BOX 21867, CHATTANOOGA, TN 37424-0867
(423) 899-0500
(423) 899-2411
Taxonomy
Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
Primary
MD021612
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141932371
TAX IDENTIFICATION
TN
05
—
3062963
—
TN
01
—
4111334
BLUE CROSS OF TENNESSEE
TN
01
—
74-40035
UNITED HEALTHCARE
TN
Enumeration date
12/14/2006
Last updated
03/21/2019
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