Randolph Cotton Byrd, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

M-6985 Issued in ID

Practice address

4424 E Flamingo Ave
Suite 300
Nampa, ID 83687-9306

Phone

(208) 302-0200

Fax

(208) 302-0255

NPI assigned

Oct 11, 2005

Last updated

Jan 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: randolph.byrd.1@9865.direct.athenahealth.com

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.

• DLP Western Carolina Physician Practices LLC

  • Internal Medicine Physician
  • Sylva, NC
  • NPI 1609281641

  Cardiovascular Disease

  NPD
• DLP Western Carolina Physician Practices LLC

  • Diagnostic Radiology Physician
  • Clyde, NC
  • NPI 1932925062
  NPD
• Mercy Physician Group Inc.

  • Adult Medicine Physician
  • Nampa, ID
  • NPI 1104972983

  Cardiovascular Disease

  NPD (past)
• Saint Alphonsus Medical Center Nampa, Inc.

  • General Acute Care Hospital
  • Nampa, ID
  • NPI 1659371870
  NPD (past)
• Saint Alphonsus Regional Medical Center Inc

  • Family Medicine Physician
  • Caldwell, ID
  • NPI 1861676298

  Cardiovascular Disease

  NPD (past)
• Boulder Ekg

  • Cardiovascular Disease Physician
  • Denver, CO
  • NPI 1174581433
  NPD (past)
• Western Cardiology Associates

  • Cardiovascular Disease Physician
  • Thornton, CO
  • NPI 1750372504
  NPD (past)

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704240000000",
    "number": "1356339618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "208-302-0200",
            "fax_number": "208-302-0255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4424 E FLAMINGO AVE",
            "address_2": "SUITE 300",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836879306",
            "telephone_number": "208-302-0200",
            "fax_number": "208-302-0255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "RANDOLPH",
        "middle_name": "COTTON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CO",
            "license": "32416",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "ID",
            "license": "M-6985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brett Butterfield, N.M.D.
• Bronwyn C Butuk, DO
• Robert B Buxton, D.O.
• Hannah Byerly, PT, DPT
• Sydnee Makay Byers
• Ashley Byrne, LPC
• Byron Dixon LLC (Byron Dixon)
• Amy Byron Sadiki, LCSW
• Nancy N Byron, LPC
• Christopher Alexander Cahan, FNP-C

• Cardiovascular Disease Physician in Nampa, ID
• Providers in Nampa, ID by specialty
• Cardiovascular Disease Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.