Byrd Medical Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

BYRD MEDICAL CLINIC INC

Practice address

700 S 6TH St
Leesville, LA 71446-4719

Phone

(337) 392-6200

NPI assigned

Jul 18, 2005

Last updated

Aug 19, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ashley Crockett WileyNPI 1770456428

Title

Mso Director

Phone

(337) 392-6200

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• CLHG-Leesville

  dba West Louisiana Family Practice-Deridder

  • Rural Health Clinic/Center
  • Deridder, LA
  • NPI 1831659333

  Member Of

  NPD member

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Byrd Medical Clinic Inc

  dba Glen Hurlston APMC

  • Anesthesiology Physician
  • Leesville, LA
  • NPI 1417671900
  NPPES parent name

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristen Alexander, FNP-C

  • Nurse Practitioner
  • Leesville, LA
  • NPI 1619595337
  Medicare reassignment Care Compare group NPD
• John David De Lapp, M.D.

  • Specialist
  • Leesville, LA
  • NPI 1346216694

  Orthopaedic Surgery

  Medicare reassignment Care Compare group NPD
• Mark Jason Dominguez, M.D.

  • Surgery Physician
  • Covington, LA
  • NPI 1043428170
  Medicare reassignment Care Compare group NPD
• Francis Alouysious Fraser, MD

  • Urology Physician
  • Leesville, LA
  • NPI 1164457198
  Medicare reassignment Care Compare group NPD
• Sylwia Gabriela Hatley, MD

  • Urology Physician
  • Leesville, LA
  • NPI 1730055310
  Medicare reassignment Care Compare group NPD
• Sarah Beshay

  • Pulmonary Disease Physician
  • Houston, TX
  • NPI 1386028280

  Internal Medicine, LA

  Medicare reassignment Care Compare group NPD
• Paul E Howard, MD

  • Otolaryngology Physician
  • Kamuela, HI
  • NPI 1750336244

  LA

  Medicare reassignment Care Compare group NPD
• Randall W Jennings, MD

  • Orthopaedic Surgery Physician
  • Coos Bay, OR
  • NPI 1467449827

  LA

  Medicare reassignment Care Compare group NPD
• Nkechinyere Christina Nwoko, D.P.M

  • Primary Podiatric Medicine Podiatrist
  • Natchez, MS
  • NPI 1336594985

  LA

  Medicare reassignment Care Compare group NPD
• Kaitlyn P Briscoe, PA-C

  • Physician Assistant
  • Leesville, LA
  • NPI 1801425087
  Medicare reassignment Care Compare group
• David Nicholas Aymond, MD

  • Family Medicine Physician
  • Alexandria, LA
  • NPI 1225324775
  Medicare reassignment NPD
• Charles M Caldwell, M.D.

  • Diagnostic Radiology Physician
  • Leesville, LA
  • NPI 1528008695
  Medicare reassignment NPD

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629331200000",
    "number": "1801895495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S 6TH ST",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S 6TH ST",
            "city": "LEESVILLE",
            "state": "LA",
            "postal_code": "714464719",
            "telephone_number": "337-392-6200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 W Fertitta Blvd",
            "address_purpose": "LOCATION",
            "city": "Leesville",
            "state": "LA",
            "postal_code": "71446",
            "country_code": "US",
            "telephone_number": "877-848-1457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BYRD MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-18",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "CROCKETT",
        "authorized_official_title_or_position": "MSO DIRECTOR",
        "authorized_official_telephone_number": "337-392-6200"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "LA",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tomas Ferdinand Bryant, PT
• Catherine Michelle Buffington, LPC
• Christopher Thomas Butler, P.A.
• Byrd Emergency Group LLC
• Byrd Medical Clinic Inc (Glen Hurlston APMC)
• Byrd Regional Hospital
• Calcasieu Urgent Care LLC
• Calcasieu Urgent Care LLC (Leesville Urgent Care)
• Caldwell Radiology Associates LLC
• Charles M Caldwell, M.D.

• Family Medicine Physician in Leesville, LA
• Providers in Leesville, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.