Individual provider Active NPI

Byron L. Barksdale, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • North Platte, NE
National Provider Identifier
1073508750
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
15625 Issued in NE
Practice address
1931 West a St
North Platte, NE 69101
Phone
(308) 532-4700
Fax
(308) 534-0534
NPI assigned
Sep 19, 2005
Last updated
Apr 14, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology Physician 207ND0900X 15625 NE
Procedural Dermatology Physician 207NS0135X 15625 NE
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 15625 NE Primary
Public Health & General Preventive Medicine Physician 2083P0901X 15625 NE

Addresses

Primary practice location

1931 West a St
North Platte, NE 69101

Mailing address

1931 West a St
North Platte, NE 69101
Phone (308) 532-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100914000594 NE Practitioner - PathologyPractitioner - Dermatology 6901996297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
PathologyAlso: Dermatology
Education
University of Kentucky College of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Services PCGroup PAC ID 5092803437, 3 clinicians

Practice addresses (Care Compare)

2121 N 117TH Ave
Suite 100a
Omaha, NE 68164-3629
Phone (308) 532-4700

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pathology Services, P.C. Anatomic Pathology & Clinical Pathology CurrentSince Mar 1, 1990 Accepting new patients
Pathology Services, P.C. Dermatopathology CurrentSince Mar 1, 1990 Accepting new patients
Pacific Pathology Associates, Inc. Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

1931 W A St
North Platte, NE 69101
Phone (308) 532-4700

500 W Leota St
Ste 200
North Platte, NE 69101
Phone (308) 532-4700

2121 N 117th Ave
Ste 100A
Omaha, NE 68164
Phone (308) 532-4700

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1073508750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1931 WEST A ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "69101",
            "telephone_number": "308-532-4700",
            "fax_number": "308-534-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1931 WEST A ST",
            "city": "NORTH PLATTE",
            "state": "NE",
            "postal_code": "69101",
            "telephone_number": "308-532-4700",
            "fax_number": "308-534-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKSDALE",
        "first_name": "BYRON",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NE",
            "license": "15625",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NE",
            "license": "15625",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NE",
            "license": "15625",
            "primary": true
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "NE",
            "license": "15625",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Platte, NE

Sources for this page

Verify at the official NPI Registry.