David Michael Byrne, MD
Individual provider Active NPI Family Medicine Physician · Grand Forks, ND
NPI 1871900191 · NPPES record last updated Jan 22, 2018
Key facts
- NPI
- 1871900191
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 14524 (ND)
- Practice address
- 1200 S Columbia Rd
Grand Forks, ND 58201-4036 - Phone
- (701) 780-6000
- Fax
- (701) 780-5772
- NPI assigned
- Jul 18, 2014
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14524 | ND | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R-10152 | IA | |
| Family Medicine Physician | 207Q00000X | 14524 | ND | Yes |
Addresses
Primary practice location
1200 S Columbia Rd
Grand Forks, ND 58201-4036
Mailing address
1200 S Columbia Rd
Grand Forks, ND 58201-4036
Phone (701) 780-6000
Other providers in Grand Forks, ND
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- Michael J Bydal
- Norman T Byers
- Eugene B Byron
- Tami Dawn Byzewski
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All providers in Grand Forks, ND · Family Medicine Physician in North Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.