NPIMap

Organization Active NPI

Roanoke Valley Internal Medicine & Rheumatology PC

  • Rheumatology Physician
  • Roanoke Rapids, NC
National Provider Identifier
1801994835
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
ROANOKE VALLEY INTERNAL MEDICINE & RHEUMATOLOGY PC
Practice address
1724 E 10TH St
Roanoke Rapids, NC 27570
Phone
(252) 535-1082
Fax
(252) 537-8440
NPI assigned
Sep 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Dr. William E Byrd, MD
Title
MD President
Phone
(252) 535-1082

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0300X
Rheumatology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

1724 E 10TH St
Roanoke Rapids, NC 27570

Mailing address

PO Box 1093
Roanoke Rapids, NC 27870-1093
Phone (252) 535-1082

Other identifiers 5

IdentifierTypeStateIssuer
01371OtherNCBCBS
075832OtherVABCBS
7901371MedicaidNC
660001739OtherGARAILROAD MEDICARE
8920597MedicaidNC

National Provider Directory

National Provider Directory

Locations

1724 E 10th St
Roanoke Rapids, NC 27870
Phone (252) 535-1082

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1801994835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1093",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278701093",
            "telephone_number": "252-535-1082",
            "fax_number": "252-537-8440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 E 10TH ST",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "27570",
            "telephone_number": "252-535-1082",
            "fax_number": "252-537-8440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE VALLEY INTERNAL MEDICINE & RHEUMATOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "BYRD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MD PRESIDENT",
        "authorized_official_telephone_number": "252-535-1082",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01371",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "075832",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7901371",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "660001739",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8920597",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke Rapids, NC

Sources for this page

  • 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.