Active NPI
Byron Keith Forgy, M.D.
- Surgery Physician
- Raleigh, NC
National Provider Identifier
1356524086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 23021
- Practice address
- 160 Mine Lake CT Ste 200
Raleigh, NC 27615 - Phone
- (305) 466-9988
- Fax
- (305) 466-9989
- NPI assigned
- Dec 17, 2007
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 23021 | NC | Primary |
Addresses
Primary practice location
160 Mine Lake CT Ste 200
Raleigh, NC 27615
Mailing address
3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone (305) 466-9988
Other practice location 1
21150 Biscayne Blvd
Suite 400
Aventura, FL 33180-1226
Phone (305) 466-9988
Other practice location 2
3800 S Ocean Dr Ste 209
Hollywood, FL 33019-2915
Phone (305) 466-9988
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 |
|---|---|---|---|
| 23021 | NC | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560297600000",
"number": "1356524086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3800 S OCEAN DR STE 209",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330192915",
"telephone_number": "305-466-9988",
"fax_number": "305-466-9989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 MINE LAKE CT STE 200",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27615",
"telephone_number": "305-466-9988",
"fax_number": "305-466-9989"
}
],
"practiceLocations": [
{
"address_1": "21150 Biscayne Blvd",
"address_2": "Suite 400",
"address_purpose": "LOCATION",
"city": "Aventura",
"state": "FL",
"postal_code": "331801226",
"country_code": "US",
"telephone_number": "305-466-9988",
"fax_number": "305-466-9989",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3800 S Ocean Dr Ste 209",
"address_purpose": "LOCATION",
"city": "Hollywood",
"state": "FL",
"postal_code": "330192915",
"country_code": "US",
"telephone_number": "305-466-9988",
"fax_number": "305-466-9989",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORGY",
"first_name": "BYRON",
"middle_name": "KEITH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-12-17",
"last_updated": "2019-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "23021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.