Robert Roland Byerly, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

31607 Issued in AZ

Practice address

7901 E 22ND St
Tucson, AZ 85710-8509

Phone

(520) 694-8400

Fax

(520) 694-9424

NPI assigned

Aug 24, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Banner Pharmacy Services LLC

  • Community/Retail Pharmacy
  • Tucson, AZ
  • NPI 1154384899
  NPD (past)
• Orange Family Practice Associates

  • Family Medicine Physician
  • Orange, TX
  • NPI 1780809236
  NPD (past)

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1467569368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 E RIVER RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857045840",
            "telephone_number": "520-694-2748",
            "fax_number": "520-684-2369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 E 22ND ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857108509",
            "telephone_number": "520-694-8400",
            "fax_number": "520-694-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYERLY",
        "first_name": "ROBERT",
        "middle_name": "ROLAND",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L6811",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "31607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Buxbaum, DNP, RN, CPNP-PC
• Gianna Angelique Buxenbaum
• Thomas Quinn Buza, DDS
• Byarteskin Limited Liability Company
• Shannon Jeanette Bybee Driscoll, M.D.
• Reese Byerrum, M.D.
• Tammi Kimball Bymers, NPA
• David M Bynes, LCSW
• Kristen Lynn Byra, PHD, BCBA-D
• Abraham R Byrd III, MD

• All providers in Tucson, AZ
• Pediatrics Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; 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.