Organization Active NPI

Byron T. Garibaldi, M.D., P.a.

  • Adult Medicine Physician
  • Springdale, AR
National Provider Identifier
1801696265
Registry record updated Mar 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
Legal business name
BYRON T. GARIBALDI, M.D., P.A.
Doing business as
Byron T. Garibaldi, MD, PA
Practice address
3807 Valley View Dr
Springdale, AR 72762-6743
Phone
(479) 966-5424
NPI assigned
Mar 15, 2025
Organization subpart
Yes
Parent organization
BYRON T. GARIBALDI, M.D., P.A.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 15, 2025

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

Authorized official

Name
Mr. Byron Thomas Garibaldi, MDNPI 1376550640
Title
President
Phone
(479) 966-5424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207QA0505X Primary

Addresses

Primary practice location

3807 Valley View Dr
Springdale, AR 72762-6743

Mailing address

3807 Valley View Dr
Springdale, AR 72762-6743
Phone (479) 966-5424

Other names 1

  • Byron T. Garibaldi, MD, PA Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250528002734 AR Part B Supplier - Clinic/Group Practice 7911426325 Receives reassigned benefits from 1 practitioner
Practice locations: Springdale, AR

National Provider Directory

National Provider Directory
Part of
Byron T Garibaldi MD P

Locations

137 Route 303
Unit 513
Vly Cottage, NY 10989

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1741996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741996800000",
    "number": "1801696265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3807 VALLEY VIEW DR",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626743",
            "telephone_number": "479-966-5424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3807 VALLEY VIEW DR",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626743",
            "telephone_number": "479-966-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYRON T. GARIBALDI, M.D., P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "BYRON T. GARIBALDI, M.D., P.A.",
        "enumeration_date": "2025-03-15",
        "last_updated": "2025-03-15",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "GARIBALDI",
        "authorized_official_first_name": "BYRON",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-966-5424",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Byron T. Garibaldi, MD, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.