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LAURA BIRD, MD, LLC
NPI 1083734610
Family Medicine in Maryville, IL

Active since March 29, 2007
2704 N CENTER ST, MARYVILLE, IL 62062(618) 288-0656(618) 288-0736 Get Directions Write a Review

NPPES record last updated: July 1, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Laura Bird, Md, Llc NPPES

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

LAURA BIRD, MD, LLC (NPI 1083734610) is a healthcare organization registered as a family medicine in Maryville, Illinois and active in the NPI registry since March 2007. The organization lists David Bird, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1083734610
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAURA BIRD, MD, LLC
Location Address2704 N CENTER STMaryville, IL 62062-5624
Mailing Address2704 N Center StMaryville, IL 62062-5624 · (618) 288-0656 · Fax (618) 288-0736
Phone(618) 288-0656
Fax(618) 288-0736
Organization SubpartNo
Authorized OfficialDavid BirdOffice Manager · (618) 288-0656
Enumeration DateMarch 29, 2007
Last NPPES UpdateJuly 1, 2008
✔ NPI 1083734610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2704 N CENTER ST, Maryville, IL 62062
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Other Identifiers 3

Medicare ID-Type Unspecified596390IL
Medicaid036096129IL
Medicare UPING56710IL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

MRS. CHRISTINE WERNER PA-C
Physician Assistant (Medical)
2704 N CENTER ST
MARYVILLE, IL 62062
Madison County (618) 288-0656
JESSICA LEIGH GIBSON PA-C
Physician Assistant
2704 N CENTER ST
MARYVILLE, IL 62062
Madison County (270) 556-8641

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 Laura Bird, MD, LLC's NPI number?

The NPI number for Laura Bird, MD, LLC is 1083734610. It was assigned to this organization in the NPPES registry on March 29, 2007.

Where is Laura Bird, MD, LLC located?

Laura Bird, MD, LLC is located at 2704 N Center St, Maryville, IL 62062. The listed phone number is (618) 288-0656.

What is Laura Bird, MD, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Laura Bird, MD, LLC was last updated on July 1, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.