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Contact Information

BRIAN BIRD, MD
11649 S 4000 W STE 200
SOUTH JORDAN, UT84009-6048
 Phone: 801-253-3080
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for BRIAN BIRD · (Male)

NPI # 1023645090
Status Active
Credentials MD
Entity Individual
Enumeration date 03/26/2020
Last updated 10/02/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • UT License # 13983608-1205
Hospital affiliation(s) Not Available
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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