Active NPI
Timothy Dewayne Byrum, CRNP
- Nurse Practitioner
- Huntsville, AL
National Provider Identifier
1518032002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1-075145
- Practice address
- 720 Gallatin Street
Suite 500
Huntsville, AL 35801-4414 - Phone
- (256) 551-6510
- Fax
- (256) 551-6507
- NPI assigned
- Nov 21, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1-075145 | AL | Primary |
Addresses
Primary practice location
720 Gallatin Street
Suite 500
Huntsville, AL 35801-4414
Mailing address
720 Gallatin Street
Suite 500
Huntsville, AL 35801-4414
Phone (256) 551-6510
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105290 | Medicaid | AL | |
| 891010370 | Medicaid | AL |
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
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nwa Infusion | Past | Accepting new patients | |
| Covenant Pain Therapies Center, Inc | Past | Accepting new patients | |
| Alabama Pain Center, LLC | Nurse Practitioner | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Huntsville, AL
- NPI 1831265776
Nurse Practitioner
-
- Interventional Pain Medicine Physician
- Huntsville, AL
- NPI 1235671231
-
- Infusion Therapy Clinic/Center
- Florence, AL
- NPI 1619735560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411084800000",
"number": "1518032002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "720 GALLATIN STREET",
"address_2": "SUITE 500",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014414",
"telephone_number": "256-551-6510",
"fax_number": "256-551-6507"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 GALLATIN STREET",
"address_2": "SUITE 500",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014414",
"telephone_number": "256-551-6510",
"fax_number": "256-551-6507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRUM",
"first_name": "TIMOTHY",
"middle_name": "DEWAYNE",
"name_prefix": "Mr.",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2014-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-075145",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "105290",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891010370",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Huntsville, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.