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GARY BIRNBAUM MD PROF CORP
NPI 1255807152
Family Medicine in Mill Valley, CA

Active since October 17, 2018
97 VISTA DEL SOL, MILL VALLEY, CA 94941(415) 350-0639(415) 366-2882 Get Directions Write a Review

NPPES record last updated: October 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Gary Birnbaum Md Prof Corp NPPES

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

GARY BIRNBAUM MD PROF CORP (NPI 1255807152) is a healthcare organization registered as a family medicine in Mill Valley, California and active in the NPI registry since October 2018. The organization lists David G Harnden, Administrative Manager, as its authorized official.

NPPES Registry Identity

NPI1255807152
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGARY BIRNBAUM MD PROF CORP
Location Address97 VISTA DEL SOLMill Valley, CA 94941-4920
Mailing Address97 Vista Del SolMill Valley, CA 94941-4920 · (415) 350-0639 · Fax (415) 366-2882
Phone(415) 350-0639
Fax(415) 366-2882
Organization SubpartNo
Authorized OfficialDavid G HarndenAdministrative Manager · (415) 648-2021
Enumeration DateOctober 17, 2018
✔ NPI 1255807152 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.
97 VISTA DEL SOL, Mill Valley, CA 94941
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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

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 Gary Birnbaum MD Prof Corp's NPI number?

The NPI number for Gary Birnbaum MD Prof Corp is 1255807152. It was assigned to this organization in the NPPES registry on October 17, 2018.

Where is Gary Birnbaum MD Prof Corp located?

Gary Birnbaum MD Prof Corp is located at 97 Vista Del Sol, Mill Valley, CA 94941. The listed phone number is (415) 350-0639.

What is Gary Birnbaum MD Prof Corp'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 Gary Birnbaum MD Prof Corp was last updated on October 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.