Organization Active NPI

C. Ron Byrd, MD PA

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1578729968
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J5718 Issued in TX
Legal business name
C. RON BYRD, MD PA
Practice address
2712 Bee Caves Rd Ste 122
Austin, TX 78746-5662
Phone
(512) 328-2752
Fax
(512) 328-2751
NPI assigned
Aug 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Authorized official

Name
Charles Ron Byrd Jr., M.D.NPI 1225056328
Title
President
Phone
(512) 328-2752

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X J5718 TX Primary

Addresses

Primary practice location

2712 Bee Caves Rd Ste 122
Austin, TX 78746-5662

Mailing address

2765 Bee Cave Rd Ste 201
Austin, TX 78746-5640
Phone (512) 328-2752

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110325000463 TX Part B Supplier - Clinic/Group Practice 0244413458 Receives reassigned benefits from 4 practitioners
Practice locations: Austin, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1217894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1578729968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 BEE CAVE RD STE 201",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465640",
            "telephone_number": "512-328-2752",
            "fax_number": "512-328-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2712 BEE CAVES RD STE 122",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465662",
            "telephone_number": "512-328-2752",
            "fax_number": "512-328-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C. RON BYRD, MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-05",
        "last_updated": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "512-328-2752",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J5718",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jul 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.