JAXTON BRUCE BIRKY DO
NPI 1548062144
Student in an Organized Health Care Education/Training Program in Temple, TX

Active since March 25, 2025PECOS Enrolled
2401 S 31ST ST, MS-11-AG062, TEMPLE, TX 76508(254) 724-5815 Get Directions Write a Review

NPPES record last updated: March 25, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jaxton Bruce Birky Do NPPES

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

JAXTON BRUCE BIRKY DO (NPI 1548062144) is an individual student in an organized health care education/training program in Temple, Texas and active in the NPI registry since March 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548062144
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAXTON BRUCE BIRKYCredential: DO
Location Address2401 S 31ST ST, MS-11-AG062Temple, TX 76508
Mailing Address2401 S 31st St, Ms-11-ag062Temple, TX 76508
Sole ProprietorNo
Enumeration DateMarch 25, 2025
NPPES CertifiedMarch 23, 2025
NPI 1548062144 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2401 S 31ST ST, Temple, TX 76508

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jaxton Bruce Birky Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

Clinical Nurse Specialist (Adult Health)
2401 S 31ST ST
TEMPLE, TX 76508
Internal Medicine (Gastroenterology)
2401 S 31ST ST
TEMPLE, TX 76508
Internal Medicine
2401 S 31ST ST
TEMPLE, TX 76508
Pediatrics
2401 S 31ST ST
TEMPLE, TX 76508
Obstetrics & Gynecology
2401 S 31ST ST
TEMPLE, TX 76508
Ophthalmology
2401 S 31ST ST
TEMPLE, TX 76508
Anesthesiology
2401 S 31ST ST
TEMPLE, TX 76508
Psychiatry & Neurology (Neurology)
2401 S 31ST ST
TEMPLE, TX 76508

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1548062144, enumerated as an "individual" on March 25, 2025.

The provider is located at 2401 S 31ST ST MS-11-AG062 TEMPLE, TX 76508 and the phone number is (254) 724-5815.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.