Bryan D Byrnside, MD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

8371 Issued in TN

Practice address

40 W. Caldwell Street
Suite 202
Mount Juliet, TN 37122

Phone

(615) 758-7511

Fax

(615) 827-0202

NPI assigned

Dec 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368403200000",
    "number": "1417015082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W CALDWELL ST",
            "address_2": "SUITE 202",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "371222910",
            "telephone_number": "615-758-7511",
            "fax_number": "615-827-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W. CALDWELL STREET",
            "address_2": "SUITE 202",
            "city": "MOUNT JULIET",
            "state": "TN",
            "postal_code": "37122",
            "telephone_number": "615-758-7511",
            "fax_number": "615-827-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNSIDE",
        "first_name": "BRYAN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2013-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "DS8371",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "8371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1511981",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlie Byers, B.A.
• Nicole Bynum
• Megan E Byram, MD
• Mary Anne Byrnes, LMFT
• Byrnside Enterprises, Inc. (Middle Tennessee Pediatric Dentistry)
• Wesley V Cain, DO
• Alicia Caldwell
• Ariel Caldwell
• Alexandria May Callham
• Kalynn Camacho

• Pediatric Dentistry in Mount Juliet, TN
• Providers in Mount Juliet, TN by specialty
• Pediatric Dentistry in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2013; 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.