Active NPI
Kenneth Norris Byrd, M.D.
- Specialist
- Cordova, TN
National Provider Identifier
1730176967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MD018318
- Practice address
- 315 S Walnut Bend Rd
Cordova, TN 38018-7216 - Phone
- (901) 755-8880
- Fax
- (901) 755-8366
- NPI assigned
- Oct 3, 2005
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | MD018318 | TN | Primary |
Addresses
Primary practice location
315 S Walnut Bend Rd
Cordova, TN 38018-7216
Mailing address
315 S Walnut Bend Rd
Cordova, TN 38018-7216
Phone (901) 755-8880
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD018318 | TN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1730176967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 S WALNUT BEND RD",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380187216",
"telephone_number": "901-755-8880",
"fax_number": "901-755-8366"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 S WALNUT BEND RD",
"city": "CORDOVA",
"state": "TN",
"postal_code": "380187216",
"telephone_number": "901-755-8880",
"fax_number": "901-755-8366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BYRD",
"first_name": "KENNETH",
"middle_name": "NORRIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "MD018318",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cordova, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.