Byron Bernard David, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN076791 AP05330 Issued in LA

Practice address

5131 Odonovan Dr FL 1
Baton Rouge, LA 70808-4782

Phone

(225) 767-4893

Fax

(225) 767-5494

NPI assigned

Nov 13, 2007

Last updated

Nov 15, 2010By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Nephrology Management LLC

  • Nephrology Physician
  • Baton Rouge, LA
  • NPI 1558815720
  NPD (past)
• Our Lady of the Lake Hospital Inc

  dba Lake Primary Care Physicians

  • Internal Medicine Physician
  • Baton Rouge, LA
  • NPI 1275577603
  NPD (past)

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289779200000",
    "number": "1679753222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 83130",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708843130",
            "telephone_number": "225-767-4893",
            "fax_number": "225-767-5494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5131 ODONOVAN DR FL 1",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708084782",
            "telephone_number": "225-767-4893",
            "fax_number": "225-767-5494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "BYRON",
        "middle_name": "BERNARD",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-13",
        "last_updated": "2010-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "RN076791 AP05330",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1022616",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Ashley MD DMD Oral Surgery Group, PC (Oral Surgery and Wisdom Teeth of Louisiana in Baton Rouge)
• David K Corbin DC LLC (Chiropractic Sports & Injury Clinic)
• David M Vieth DDS, a Professional Corporation (Kool Smiles)
• David Werner Barnett DDS, MD, LLC
• Amy David, FNP
• Catherine D David, FNPC
• Judy M David, CCC-SLP
• Candace Lacher Davidson, LMT
• Carrie S. Davidson
• Douglas W Davidson

• Family Nurse Practitioner in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Family Nurse Practitioner in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.