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DARYL E. BIRDWELL, M.D., INC.
NPI 1972631067
Family Medicine in Lawton, OK

Active since March 01, 2007
4417 W GORE BLVD STE 2, LAWTON, OK 73505(580) 248-7417(580) 248-4847 Get Directions Write a Review

NPPES record last updated: September 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Daryl E. Birdwell, M.d., Inc. NPPES

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

DARYL E. BIRDWELL, M.D., INC. (NPI 1972631067) is a healthcare organization registered as a family medicine in Lawton, Oklahoma and active in the NPI registry since March 2007. The organization lists Dianna Simmons, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1972631067
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDARYL E. BIRDWELL, M.D., INC.
Location Address4417 W GORE BLVD STE 2Lawton, OK 73505-5978
Mailing Address4417 W Gore Blvd Ste 2Lawton, OK 73505-5978 · (580) 248-7417 · Fax (580) 248-4847
Phone(580) 248-7417
Fax(580) 248-4847
Organization SubpartNo
Authorized OfficialDianna SimmonsOffice Manager · (580) 248-7417
Enumeration DateMarch 1, 2007
Last NPPES UpdateSeptember 22, 2010
✔ NPI 1972631067 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OK · 10548OK
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.
4417 W GORE BLVD STE 2, Lawton, OK 73505
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Other Identifiers 4

Medicare UPIND38637OK
Other10548OKOK · State Lic.
Medicare ID-Type Unspecified441481692OK
Medicaid100094050AOK

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

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

MARSHELLEN DENISE JACKSON
Counselor (Mental Health)
4417 W GORE BLVD STE 2
LAWTON, OK 73505
Comanche County (580) 956-4827

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 Daryl E. Birdwell, M.D., Inc.'s NPI number?

The NPI number for Daryl E. Birdwell, M.D., Inc. is 1972631067. It was assigned to this organization in the NPPES registry on March 1, 2007.

Where is Daryl E. Birdwell, M.D., Inc. located?

Daryl E. Birdwell, M.D., Inc. is located at 4417 W Gore Blvd Ste 2, Lawton, OK 73505. The listed phone number is (580) 248-7417.

What is Daryl E. Birdwell, M.D., Inc.'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 Daryl E. Birdwell, M.D., Inc. was last updated on September 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.