Individual
MR. JOSEPH SIMMONS BIRD JR.
Active
Individual
MR. JOSEPH SIMMONS BIRD JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
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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