Individual provider Active NPI

Richard H Byrne, MD

  • Urology Physician
  • Lincolnton, NC
National Provider Identifier
1639276421
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
2010-01628 Issued in NC
Practice address
441 McAlister Rd
Suite 1200
Lincolnton, NC 28092-4126
Phone
(980) 212-6200
Fax
(980) 212-6201
NPI assigned
Sep 20, 2006
Last updated
Apr 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 21951 WV
Urology Physician 208800000X 2010-01628 NC Primary

Addresses

Primary practice location

441 McAlister Rd
Suite 1200
Lincolnton, NC 28092-4126

Mailing address

PO Box 602456
Charlotte, NC 28260-2456
Phone (980) 212-6200

Other identifiers 8

IdentifierTypeStateIssuer
P00272622OtherWVRAILROAD MEDICARE
4508291OtherWVAETNA
328290OtherWVCARELINK
NC1335MedicaidSC
3810003183MedicaidWV
000422674OtherWVBC/BS
5916118MedicaidNC
WV21951OtherWVHEALTH PLAN

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2010-01628NCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stone Institute of the Carolinas LLC Urology PastSince Apr 1, 1990 Accepting new patients
DRS. Dorman, Gargurevich & Byrne, CHTD. Urology Past Accepting new patients
The Urology Center, PLLC Urology 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1639276421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602456",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602456",
            "telephone_number": "980-212-6200",
            "fax_number": "980-212-6201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "441 MCALISTER RD",
            "address_2": "SUITE 1200",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280924126",
            "telephone_number": "980-212-6200",
            "fax_number": "980-212-6201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "RICHARD",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "WV",
            "license": "21951",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NC",
            "license": "2010-01628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00272622",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4508291",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK",
            "identifier": "328290",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NC1335",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810003183",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000422674",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5916118",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PLAN",
            "identifier": "WV21951",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2013; 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.