Individual provider Active NPI

Robert Byrnes, M.D.

  • Internal Medicine Physician
  • Omaha, NE
National Provider Identifier
1245329929
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20069 Issued in NE
Practice address
5310 S 84TH St
Omaha, NE 68127-3775
Phone
(402) 827-6510
NPI assigned
Oct 12, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 20069 NE Primary

Addresses

Primary practice location

5310 S 84TH St
Omaha, NE 68127-3775

Mailing address

5310 S 84TH St
Omaha, NE 68127-3775
Phone (402) 827-6510

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

LicenseStateTypeSpecialty
20069NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VWB LLC CurrentSince May 17, 2020 Accepting new patients
Midwest Minor Medical PC CurrentSince Oct 23, 2019 Accepting new patients

Locations

14104 S St
Omaha, NE 68137
Phone (402) 827-6710

4004 N 132nd St
Ste 101
Omaha, NE 68164
Phone (402) 302-2273

8552 Cass St
Omaha, NE 68114
Phone (402) 393-8443

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1245329929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5310 S 84TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681273775",
            "telephone_number": "402-827-6510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5310 S 84TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681273775",
            "telephone_number": "402-827-6510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNES",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NE",
            "license": "20069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.