Edwin Oscar Byrd III, M.D.
Individual provider Active NPI Family Medicine Physician · Woodruff, SC
NPI 1891775516 · NPPES record last updated Nov 15, 2007
Key facts
- NPI
- 1891775516
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 16703 (SC)
- Practice address
- 7280C Reidville Road
Woodruff, SC 29388-1618 - Phone
- (864) 486-0760
- Fax
- (864) 486-0761
- NPI assigned
- Jan 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical University of South Carolina College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7280 C Reidville Rd
Woodruff, SC 29388-9792
Phone (864) 486-0760
Hospital & facility affiliations
- Spartanburg Medical Center
- Pelham Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080310000136 | SC | Practitioner - Family Practice | 2365527728 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Byrd Medical Associates LLC | Current |
Accepting new patients | |
| Woodruff Family Medicine LLC | Past |
Accepting new patients |
Locations
7280 Reidville Rd
#C
Woodruff, SC 29388
Phone (864) 486-0760
Interoperability endpoints
- https://api.platform.athenahealth.com/25405/brand/1/csg/1/fhir/r4
- edwin.byrd.1@25405.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 16703 | SC | Yes |
Addresses
Primary practice location
7280C Reidville Road
Woodruff, SC 29388-1618
Mailing address
PO Box 159
Reidville, SC 29375-0159
Phone (864) 486-0760
Other providers in Woodruff, SC
- Thomas Fordham Brewer
- Brookstone Terrace of Woodruff, LLC
- BST Family Hospice LLC
- Lester Burgess
- Byrd Medical Associates LLC
- C & C Mobility, LLC
- Eric William Campbell
- Caring Adventurers, LLC
- Carolina Clinical Services, LLC
- Carolina Vision Associates, LLC
All providers in Woodruff, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.