Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RG0300X | Geriatric Medicine | 16837 | NC |
Y | 207RR0500X | Rheumatology | 16837 | NC |
NPI | 1154378115 |
---|---|
Provider Name | Dr. William E Byrd |
First Address | Roanoke Rapids, NC 27870-4903 |
Second Address | Roanoke Rapids, NC 27870-4903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/05/2006 |
Last Update Date | 24/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
024P1 | BC (01) | NC |
075832 | BCBS (01) | VA |
6600001739 | RAILROAD MEDICARE (01) | SC |
8920597 | (05) | NC |
C83093 | (02) |