National Provider Identifier Database

MARTHA BIRD, MD – NPI #1417138512
Child & Adolescent Psychiatry

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.


Contact Information

MARTHA BIRD, MD
2 PROFESSIONAL PARK DR STE 21
JOHNSON CITY, TN37604-6584
Phone: 423-379-8120
Fax: 423-379-8153
Website:
Specialty Taxonomy Code
* Child & Adolescent Psychiatry 2084P0804X
Psychiatry 2084P0800X

* Indicates primary specialty

NPI Profile & details for MARTHA BIRD

NPI Number 1417138512
Credentials MD
Entity Individual
Enumeration date 11/16/2007
Last updated 01/16/2024 - About 2 years ago
Sole proprietor1 No
Identifiers
  • TN License #: 45132
  • TN Medicaid: 1514506
  • TN Other: 3714470 GROUP TN MEDICARE NUMBER
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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