Active NPI
David Carthage Byrnes Jr., MD
- Internal Medicine Physician
- Tampa, FL
National Provider Identifier
1699778019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME114343
- Practice address
- 2810 W Saint Isabel St
Suite 201
Tampa, FL 33607-6375 - Phone
- (813) 890-8004
- Fax
- (813) 290-9691
- NPI assigned
- May 31, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME114343 | FL | Primary |
| Gastroenterology Physician | 207RG0100X | 138791 | NY |
Addresses
Primary practice location
2810 W Saint Isabel St
Suite 201
Tampa, FL 33607-6375
Mailing address
PO Box 20065
Tampa, FL 33622-0065
Phone (813) 890-8004
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008090500 | Medicaid | FL | |
| P01151446 | Other | FL | RR MEDICARE |
| ME114343 | Other | FL | LICENSE NO |
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME114343 | FL | MD | Internal Medicine Physician |
| 138791 | NY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Byrnes Medical, LLP | Gastroenterology | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446508800000",
"number": "1699778019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20065",
"city": "TAMPA",
"state": "FL",
"postal_code": "336220065",
"telephone_number": "813-890-8004",
"fax_number": "813-290-9691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 W SAINT ISABEL ST",
"address_2": "SUITE 201",
"city": "TAMPA",
"state": "FL",
"postal_code": "336076375",
"telephone_number": "813-890-8004",
"fax_number": "813-290-9691"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRNES",
"first_name": "DAVID",
"middle_name": "CARTHAGE",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-31",
"last_updated": "2015-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME114343",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "138791",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008090500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01151446",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NO",
"identifier": "ME114343",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.