DR. BRIAN GILLAM BIRDWELL M.D.
NPI 1013909605
Internal Medicine in Lawton, OK

Active since August 18, 2005Opted out of Medicare · through Oct 1, 2026
4202 SW LEE BLVD, LAWTON, OK 73505(580) 248-9966(580) 248-8313 Get Directions Write a Review

NPPES record last updated: December 22, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Brian Gillam Birdwell M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BRIAN GILLAM BIRDWELL M.D. (NPI 1013909605) is an individual internal medicine provider in Lawton, Oklahoma, licensed in Oklahoma (13900) and active in the NPI registry since August 2005. He has opted out of Medicare through October 1, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1013909605
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. BRIAN GILLAM BIRDWELLCredential: M.D.
Location Address4202 SW LEE BLVDLawton, OK 73505-8300
Mailing Address4202 Sw Lee BlvdLawton, OK 73505-8300 · (580) 248-9966 · Fax (580) 248-8313
Fax(580) 248-8313
Sole ProprietorNo
Enumeration DateAugust 18, 2005
Last NPPES UpdateDecember 22, 2011
NPI 1013909605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in OK · 13900
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPreventive Medicine · Undersea and Hyperbaric MedicineTaxonomy 2083P0011X · License 13900 (OK)
Also ListedPreventive Medicine · Occupational MedicineTaxonomy 2083X0100X · License 13900 (OK)
4202 SW LEE BLVD, Lawton, OK 73505

Other Identifiers 2

Medicaid100824240OK
Medicare UPINF82110OK

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Brian Gillam Birdwell M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 1, 2014 through October 1, 2026.

Opt-Out Effective DateOctober 1, 2014
Opt-Out In Effect ThroughOctober 1, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$3.91 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
5 suppliers35 claims2,820 services$0.07 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$33.39 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers40 claims43 services$193.41 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
7 suppliers33 claims33 services$18.11 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
4202 SW LEE BLVD, BUILDING B, SUITE 100
LAWTON, OK 73505
Obstetrics & Gynecology (Hospice and Palliative Medicine)
4202 SW LEE BLVD, BLDG B, SUITE A
LAWTON, OK 73505
Internal Medicine
4202 SW LEE BLVD, BLDG A STE 104
LAWTON, OK 73505
Counselor (Professional)
4202 SW LEE BLVD
LAWTON, OK 73505
Pharmacist (Pharmacotherapy)
4202 SW LEE BLVD, BLDG B
LAWTON, OK 73505
Physical Therapist
4202 SW LEE BLVD, BLDG B, SUITE 202
LAWTON, OK 73505
Counselor (Professional)
4202 SW LEE BLVD
LAWTON, OK 73505
Counselor (Mental Health)
4202 SW LEE BLVD
LAWTON, OK 73505

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brian Birdwell's NPI number?

The NPI number for Brian Birdwell is 1013909605. It was assigned to this individual provider in the NPPES registry on August 18, 2005.

Where is Brian Birdwell located?

Brian Birdwell practices at 4202 SW Lee Blvd, Lawton, OK 73505. The listed phone number is (580) 248-9966.

What is Brian Birdwell's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brian Birdwell enrolled in Medicare?

No. Brian Birdwell has opted out of Medicare through October 1, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

What insurance does Brian Birdwell accept?

Health plans from Mending Health list Brian Birdwell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Brian Birdwell was last updated on December 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.