Robert Byrd III, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

96001471 Issued in IL

Practice address

1501 Central St
Evanston, IL 60208-3630

Phone

(847) 491-5421

NPI assigned

Jan 11, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609926989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2166 MIDHURST RD",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605162527",
            "telephone_number": "630-660-8247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 CENTRAL ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602083630",
            "telephone_number": "847-491-5421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "ROBERT",
        "name_suffix": "III",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": "96001471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julissa Bustamante
• Anna George Butler, DC
• Blake Butler, APN-CRNA
• Ellen Margaret Butsch
• Megan Rachael Butzke, PA-C
• Katherine Grace Byrnes, MD
• Kristina Byzyka
• C G Jung Center
• Joseline Reyes Cabrera, APN-CRNA
• Lizbeth Cabrera

• Athletic Trainer in Evanston, IL
• Providers in Evanston, IL by specialty
• Athletic Trainer in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.