Organization Active NPI

James K Byrd III MD PC

  • Internal Medicine Physician
  • Huntsville, AL
National Provider Identifier
1558540351
Registry record updated Jan 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
00026682 Issued in AL
Legal business name
JAMES K BYRD III MD PC
Practice address
420 Lowell Dr SE Ste 300
Huntsville, AL 35801-3762
Phone
(256) 535-5972
Fax
(256) 535-5954
NPI assigned
Oct 29, 2007
Last updated
Jan 2, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2013

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

Authorized official

Name
Dr. James K Byrd III, MDNPI 1033172408
Title
Owner
Phone
(256) 535-5972

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00026682 AL Primary

Addresses

Primary practice location

420 Lowell Dr SE Ste 300
Huntsville, AL 35801-3762

Mailing address

420 Lowell Dr SE Ste 103
Huntsville, AL 35801-3755
Phone (256) 535-5940

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050719000288 AL Part B Supplier - Clinic/Group Practice 8527095819 Receives reassigned benefits from 1 practitioner
Practice locations: Huntsville, AL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
01D1042371James K Byrd III MD PC420 Lowell Drive SE Suite 300, Huntsville, AL 35801Certificate of waiverJun 23, 2027

National Provider Directory

National Provider Directory

Locations

1425 Weatherly Rd SE
Huntsville, AL 35803
Phone (256) 881-1111

420 Lowell Dr SE
Ste 300
Huntsville, AL 35801
Phone (256) 265-1940

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1193616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1558540351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LOWELL DR SE STE 103",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013755",
            "telephone_number": "256-535-5940",
            "fax_number": "256-535-5954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LOWELL DR SE STE 300",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013762",
            "telephone_number": "256-535-5972",
            "fax_number": "256-535-5954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES K BYRD III MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-29",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-535-5972",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00026682",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.