Individual provider Active NPI

Brenda L Jefferson-Byrd, MD

  • Family Medicine Physician
  • Aurora, IL
National Provider Identifier
1285717595
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-099715 Issued in IL
Practice address
3535 E New York St Ste 115
Aurora, IL 60504-4466
Phone
(630) 499-1900
NPI assigned
Oct 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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 036-099715 IL Primary

Addresses

Primary practice location

3535 E New York St Ste 115
Aurora, IL 60504-4466

Mailing address

3700 Baybrook Dr
Aurora, IL 60504-6596
Phone (630) 202-8189

Other practice location 1

6170 Joliet Rd
Countryside, IL 60525-3976
Phone (708) 352-0330

Other names 1

  • Dr. Brenda L Jefferson-Byrd Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040512000880 IL Practitioner - Internal MedicinePractitioner - Family Practice 9335139427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fox Valley Urgent Care, Inc.Group PAC ID 9739369299, 2 clinicians

Practice addresses (Care Compare)

3535 E New York St
Suite 115
Aurora, IL 60504-4466
Phone (630) 499-1900

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-099715ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Urgent Care, Inc. CurrentSince Oct 1, 2018 Accepting new patients
Integrated Health Care Providers LLC Past Accepting new patients
Midwest Medical Home Inc Family Medicine PastSince Jun 2, 2010 Accepting new patients
Community Health Services, SC Past Accepting new patients

Locations

3535 E New York St
Ste 115
Aurora, IL 60504
Phone (630) 499-1900

Organizations & group practices 4

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1285717595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 BAYBROOK DR",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605046596",
            "telephone_number": "630-202-8189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3535 E NEW YORK ST STE 115",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605044466",
            "telephone_number": "630-499-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6170 Joliet Rd",
            "address_purpose": "LOCATION",
            "city": "Countryside",
            "state": "IL",
            "postal_code": "605253976",
            "country_code": "US",
            "telephone_number": "708-352-0330",
            "fax_number": "708-352-8905",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEFFERSON-BYRD",
        "first_name": "BRENDA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-099715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRENDA",
            "last_name": "JEFFERSON-BYRD",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.