IndividualActive
Brian Birch, MD
NPI 1194042713 · Pediatrics Physician · Meridian, ID
Provider details
- NPI number
- 1194042713
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- M-12019 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
2921 S Meridian Rd
Meridian, ID 83642-7961
Phone: (208) 297-7847
Fax: (208) 203-0097
Approximate (ZIP-level) locationGet directions
Mailing address
1775 W State St # 229
Boise, ID 83702-3924
Registry dates
- Enumerated
- 2010-04-21
- Last updated
- 2023-06-06
- Certified
- 2023-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.