Individual provider Active NPI

Bill Byrd, M.D.

  • Family Medicine Physician
  • Longwood, FL
National Provider Identifier
1174511323
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME43323 Issued in FL
Practice address
500 E State Road 434
Longwood, FL 32750-5222
Phone
(407) 834-4849
Fax
(407) 834-4905
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME43323 FL Primary

Addresses

Primary practice location

500 E State Road 434
Longwood, FL 32750-5222

Mailing address

PO Box 616788
Orlando, FL 32861-6788
Phone (407) 834-4849

Other identifiers 1

IdentifierTypeStateIssuer
042361100MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bill.byrd@centerwell.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040115000855 FL Practitioner - Family Practice 1254231236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Florida College of Medicine, 1980
Medicare assignment
May accept Medicare assignment
Group practices
Sunshine Family Care LLCGroup PAC ID 4880049675, 12 clinicians

Practice addresses (Care Compare)

1013 N State Rd
434 Suite 1060
Altamonte Springs, FL 32714-7078
Phone (407) 883-0908

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME43323FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunshine Family Care LLC CurrentSince Sep 23, 2024 Accepting new patients
Centerwell Senior Primary Care (FL) Inc. Family Medicine Past Accepting new patients

Locations

1013 N State Road 434
Ste 1060
Altamonte Springs, FL 32714
Phone (407) 867-0008

2277 Lee Rd
Winter Park, FL 32789

Interoperability endpoints

  • Direct secure messaging: bill.byrd@centerwell.eclinicaldirectplus.com

Organizations & group practices 2

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1174511323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 616788",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328616788",
            "telephone_number": "407-834-4849",
            "fax_number": "407-834-4905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E STATE ROAD 434",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327505222",
            "telephone_number": "407-834-4849",
            "fax_number": "407-834-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "BILL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME43323",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "042361100",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bill.byrd@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "500 E State Road 434",
            "city": "Longwood",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327505222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.