Robert Byrd MD, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

34304 Issued in KY

Legal business name

ROBERT BYRD MD, LLC

Practice address

1310 New Cut Rd
Bowling Green, KY 42103-8404

Phone

(270) 360-0008

NPI assigned

Oct 6, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Robert Byrd

Title

Owner

Phone

(270) 360-0008

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478822400000",
    "number": "1639629389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1811 N DIXIE AVE",
            "address_2": "SUITE 104, PMB# 130",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427015554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 NEW CUT RD",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421038404",
            "telephone_number": "270-360-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT BYRD MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-11-11",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-360-0008",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "KY",
            "license": "34304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Holly Roberts, RBT
• Kyleigh Grace Roberts
• Nettie Renea Roberts

• Physical Medicine & Rehabilitation Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Physical Medicine & Rehabilitation Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.