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

Gennadiy Birman

Individual provider Physician Assistant · NPI 1598295479

Gennadiy Birman is a Physician Assistant in Camp Pendleton, California. Works from 2 locations. Licensed in Utah.

Licensed in
UT
In the registry since
2017

Practice location Address checks out

200 Mercy Circle Dr
Camp Pendleton, CA 92055-5191
Phone: (760) 725-1577
Show map & directions

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

Additional practice locations (1)

  • 1st Medical Battalion, Oceanside, CA 92055 — (760) 725-8537

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 14215796-1206 (UT)

Record details

NPI number1598295479
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 14, 2017
Last updated in NPPESSeptember 23, 2025
Certification dateSeptember 23, 2025
Mailing addressI Marine Expeditionary Force, 200 Mercy Circle Drive, Camp Pendleton, CA 92055

Other providers in Camp Pendleton