Individual provider Active NPI

Robert E Byrd, D.C.

  • Chiropractor
  • Albuquerque, NM
National Provider Identifier
1093890220
Registry record updated Jul 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
NM1009 Issued in NM
Practice address
7611 Indian School Rd NE
Suite 104
Albuquerque, NM 87110-5405
Phone
(505) 268-0808
Fax
(505) 268-2458
NPI assigned
Oct 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NM1009 NM Primary

Addresses

Primary practice location

7611 Indian School Rd NE
Suite 104
Albuquerque, NM 87110-5405

Mailing address

1110 Pennsylvania St NE
Ste a
Albuquerque, NM 87110-7404
Phone (505) 268-0808

Other identifiers 2

IdentifierTypeStateIssuer
NM1009OtherNMNEW MEXICO LICENSE NUMBER
NM01K682OtherNMBLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040324000992 NM Practitioner - Chiropractic 2062303365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New Mexico Chiropractic Center PCGroup PAC ID 0749381143, 3 clinicians

Practice addresses (Care Compare)

10555 Montgomery Blvd NE
BLDG 1 Suite 30
Albuquerque, NM 87111-3857
Phone (505) 299-6622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1009NMMDMarriage & Family Therapist
NM1009NMMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Chiropractic Center PC Chiropractor CurrentSince Apr 16, 2024 Accepting new patients

Locations

10555 Montgomery Blvd NE
Ste 30
Albuquerque, NM 87111
Phone (505) 299-6622

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531699200000",
    "number": "1093890220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 PENNSYLVANIA ST NE",
            "address_2": "STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871107404",
            "telephone_number": "505-268-0808",
            "fax_number": "505-268-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7611 INDIAN SCHOOL RD NE",
            "address_2": "SUITE 104",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105405",
            "telephone_number": "505-268-0808",
            "fax_number": "505-268-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2018-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NM",
            "license": "NM1009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW MEXICO LICENSE NUMBER",
            "identifier": "NM1009",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "NM01K682",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.