Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Eli Riley Birdsong

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1376477786

Eli Riley Birdsong is a Student in an Organized Health Care Education/Training Program in Springfield, Missouri. Practices as a sole proprietor. Licensed in Missouri.

Licensed in
MO
In the registry since
2026
Specialties on file
2

Practice location Address checks out

901 S National Ave # PROF417
Springfield, MO 65897-0027
Phone: (573) 578-9299
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MO)
Athletic Trainer Taxonomy 2255A2300X (MO)

Record details

NPI number1376477786
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 10, 2026
Last updated in NPPESJune 10, 2026
Certification dateJune 10, 2026
Mailing address22251 State Route P, Newburg, MO 65550-9116

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