Individual provider Active NPI

Byron F Conner, M.D.

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1669412243
Registry record updated Feb 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J8496 Issued in TX
Practice address
4551 Western Center Blvd
Fort Worth, TX 76137-2628
Phone
(817) 644-3340
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X J8496 TX Primary
Emergency Medicine Physician 207P00000X J8496 TX
Public Health & General Preventive Medicine Physician 2083P0901X J8496 TX

Addresses

Primary practice location

4551 Western Center Blvd
Fort Worth, TX 76137-2628

Mailing address

4551 Western Center Blvd
Fort Worth, TX 76137-2628
Phone (817) 644-3340

Other identifiers 3

IdentifierTypeStateIssuer
1398299MedicaidTX
P00802556OtherTXRAILROAD
139829943MedicaidTX

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Palo Pinto Emergency Physicians Emergency Medicine PastSince Mar 17, 2008 Accepting new patients
Riverside Physician Services, Inc. Emergency Medicine Past Accepting new patients
Campion Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Texas Em-1 Medical Services, PA Emergency Medicine Past Accepting new patients
Bayside Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Abk Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Bayside Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Texas Emergency Rooms Services, PA Emergency Medicine Past Accepting new patients
Lexington Virginia Emergency Physicians LLP Emergency Medicine Past Accepting new patients
KTX Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Sparkling Sea Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Texas Em-1 Medical Services, PA Emergency Medicine Past Accepting new patients
Bayside Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Chandor Emergency Physicians Emergency Medicine Past Accepting new patients
Shawnee Trail Emergency Physicians Emergency Medicine Past Accepting new patients
Bayside Emergency Pyhsicians, LLP Emergency Medicine Past Accepting new patients
Riverside Emergency Physicians LLP Emergency Medicine Past Accepting new patients
E Care Emergency Frisco LLC Past Accepting new patients
Texas Em-1 Medical Services, PA Past Accepting new patients
River Brazos Emergency Physicians PLLC Emergency Medicine Past Accepting new patients
Texas Emergency Room Services, P.a. Emergency Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: bryon.conner@402756199579652.direct.elationemr.com

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423785600000",
    "number": "1669412243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4551 WESTERN CENTER BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761372628",
            "telephone_number": "817-644-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4551 WESTERN CENTER BLVD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761372628",
            "telephone_number": "817-644-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNER",
        "first_name": "BYRON",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2015-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J8496",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J8496",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "TX",
            "license": "J8496",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1398299",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "P00802556",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139829943",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2015; 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.