Provider Demographics
NPI:1164085155
Name:BIRD, JOSEPH SIMMONS III (MD, BSC)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:SIMMONS
Last Name:BIRD
Suffix:III
Gender:M
Credentials:MD, BSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7407 ZIEGLER RD
Mailing Address - Street 2:
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-3157
Mailing Address - Country:US
Mailing Address - Phone:423-899-0500
Mailing Address - Fax:
Practice Address - Street 1:7407 ZIEGLER RD
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-3157
Practice Address - Country:US
Practice Address - Phone:423-899-0500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-16
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN68131207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology