Active NPI
Byron R Randolph, M.D.
- Internal Medicine Physician
- Durham, NC
National Provider Identifier
1245273432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 9501705
- Practice address
- 1301 Fayetteville St
Durham, NC 27707-2325 - Phone
- (919) 956-4000
- Fax
- (919) 956-4535
- NPI assigned
- Jun 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 9501705 | NC | Primary |
Addresses
Primary practice location
1301 Fayetteville St
Durham, NC 27707-2325
Mailing address
PO Box 52119
Durham, NC 27717-2119
Phone (919) 956-4000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8970159 | Medicaid | NC | |
| 70159 | Other | NC | BC/BS IND PRO NO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9501705 | NC | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315267200000",
"number": "1245273432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 52119",
"city": "DURHAM",
"state": "NC",
"postal_code": "277172119",
"telephone_number": "919-956-4000",
"fax_number": "919-956-4535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 FAYETTEVILLE ST",
"city": "DURHAM",
"state": "NC",
"postal_code": "277072325",
"telephone_number": "919-956-4000",
"fax_number": "919-956-4535"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDOLPH",
"first_name": "BYRON",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-14",
"last_updated": "2011-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "9501705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8970159",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS IND PRO NO",
"identifier": "70159",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.