Provider Demographics
NPI:1851307854
Name:BIRSIC, WILLIAM I (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:I
Last Name:BIRSIC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 S WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2768
Mailing Address - Country:US
Mailing Address - Phone:724-689-1335
Mailing Address - Fax:724-689-1337
Practice Address - Street 1:44 S WASHINGTON AVE
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2768
Practice Address - Country:US
Practice Address - Phone:724-689-1335
Practice Address - Fax:724-689-1337
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD037323E2086S0127X, 208600000X
IL036-099223208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036099233Medicaid
IL044580OtherHEALTH ALLIANCE
E90904Medicare UPIN
ILK15674Medicare ID - Type UnspecifiedWPS