Individual provider Active NPI

Tom D. Byrd, M.D.

  • Internal Medicine Physician
  • Brownwood, TX
National Provider Identifier
1164458980
Registry record updated May 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J4017 Issued in TX
Practice address
2100 Crockett Dr.
Brownwood, TX 76801-5917
Phone
(325) 646-0704
Fax
(888) 895-1214
NPI assigned
Jun 23, 2006
Last updated
May 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J4017 TX Primary

Addresses

Primary practice location

2100 Crockett Dr.
Brownwood, TX 76801-5917

Mailing address

PO Box 520
Brownwood, TX 76804-0520
Phone (325) 643-3300

Other identifiers 2

IdentifierTypeStateIssuer
110111384OtherTXRAILROAD MEDICARE
118631401MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20091221000345 TX Practitioner - Internal Medicine 4082614490 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J4017TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Employee Assistance Program Inc CurrentSince Apr 1, 2011 Accepting new patients
Cross Timbers Health Clinics, Inc. Current Accepting new patients
Regional Employee Assistance Program Inc Internal Medicine CurrentSince Apr 1, 2011 Accepting new patients
Cross Timbers Health Clinics, Inc CurrentSince Nov 11, 2019 Accepting new patients
Heart of Texas Internal Medicine Associates, P.a. Internal Medicine PastSince Dec 6, 2006 Accepting new patients
Brownwood Hospital LP Past Accepting new patients
City of Brownwood Past Accepting new patients

Locations

104 S Park Dr
Brownwood, TX 76801
Phone (325) 643-5695

109 S Park Dr
Brownwood, TX 76801
Phone (325) 643-3300

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

2100 Crockett Dr
Brownwood, TX 76801
Phone (325) 646-0704

1100 W Reynosa Ave
De Leon, TX 76444
Phone (254) 893-5895

2804 Lake Rd
Ste 5
Huntsville, TX 77340
Phone (979) 696-2422

135 River North Blvd
Stephenville, TX 76401
Phone (254) 965-2810

Interoperability endpoints

  • Direct secure messaging: tom.byrd.1@27161.direct.athenahealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1164458980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768040520",
            "telephone_number": "325-643-3300",
            "fax_number": "325-641-8714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CROCKETT DR.",
            "city": "BROWNWOOD",
            "state": "TX",
            "postal_code": "768015917",
            "telephone_number": "325-646-0704",
            "fax_number": "888-895-1214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "TOM",
        "middle_name": "D.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2023-05-01",
        "certification_date": "2023-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J4017",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110111384",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "118631401",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brownwood, TX

Sources for this page

Verify at the official NPI Registry.