Individual provider Active NPI

Byron Gallaway Darby, MD

  • Obstetrics & Gynecology Physician
  • Austin, TX
National Provider Identifier
1417959669
Registry record updated May 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E9051 Issued in TX
Practice address
12201 Renfert Way
Ste 215
Austin, TX 78758-5369
Phone
(512) 339-6626
Fax
(512) 425-3809
NPI assigned
Jun 1, 2005
Last updated
May 15, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X E9051 TX Primary

Addresses

Primary practice location

12201 Renfert Way
Ste 215
Austin, TX 78758-5369

Mailing address

12201 Renfert Way
Ste 215
Austin, TX 78758-5369
Phone (512) 339-6626

Other identifiers 1

IdentifierTypeStateIssuer
133891508MedicaidTX

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

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Women's Group PA Obstetrics & Gynecology CurrentSince Sep 26, 2007 Accepting new patients
St. David's Specialized Women's Services, PLLC PastSince Aug 11, 2014 Accepting new patients
St. Davids OB and GYN Services, PLLC Obstetrics & Gynecology Past Accepting new patients

Locations

12201 Renfert Way
Ste 340
Austin, TX 78758
Phone (512) 425-3818

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400112000000",
    "number": "1417959669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY",
            "address_2": "STE 215",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585369",
            "telephone_number": "512-339-6626",
            "fax_number": "512-425-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12201 RENFERT WAY",
            "address_2": "STE 215",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787585369",
            "telephone_number": "512-339-6626",
            "fax_number": "512-425-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARBY",
        "first_name": "BYRON",
        "middle_name": "GALLAWAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-01",
        "last_updated": "2014-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "E9051",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133891508",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; 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.