Organization Active NPI

Marcus Byrd Hospital Physician PA

  • Internal Medicine Physician
  • Tyler, TX
National Provider Identifier
1356693865
Registry record updated Oct 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
MARCUS BYRD HOSPITAL PHYSICIAN PA
Practice address
1000 S Beckham Ave
Tyler, TX 75701-1908
Phone
(903) 253-3325
Fax
(903) 561-8396
NPI assigned
Oct 8, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2015

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

Authorized official

Name
Dr. Marcus A Byrd, M.D.
Title
Owner
Phone
(903) 253-3325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1000 S Beckham Ave
Tyler, TX 75701-1908

Mailing address

18246 Spruce Hill Dr
Flint, TX 75762-3612
Phone (903) 253-3325

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445904000000",
    "number": "1356693865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18246 SPRUCE HILL DR",
            "city": "FLINT",
            "state": "TX",
            "postal_code": "757623612",
            "telephone_number": "903-253-3325",
            "fax_number": "903-561-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S BECKHAM AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011908",
            "telephone_number": "903-253-3325",
            "fax_number": "903-561-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARCUS BYRD HOSPITAL PHYSICIAN PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-08",
        "last_updated": "2015-10-27",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-253-3325",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2015; 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.