Active NPI
Brandy M Byrd, FNP
- Nurse Practitioner
- Alton, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209011350
- Practice address
- 4 Memorial Dr Ste 230
Alton, IL 62002-6704 - Phone
- (618) 463-7874
- NPI assigned
- May 16, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 209011350 | IL | Primary |
| Family Nurse Practitioner | 363LF0000X | 209011350 | IL | |
| Nurse Practitioner | 363L00000X | 13397-30 | WI | |
| Nurse Practitioner | 363L00000X | 2015018041 | MO |
Addresses
Primary practice location
4 Memorial Dr Ste 230
Alton, IL 62002-6704
Mailing address
163 E Bethalto Dr
Bethalto, IL 62010-1801
Phone (618) 433-6640
Other practice location 1
3 Professional Dr Ste B
Alton, IL 62002-5067
Phone (618) 465-7177
Other practice location 2
500 Howdershell Rd
Florissant, MO 63031-6450
Phone (314) 687-2727
Other practice location 3
1821 S Stoughton Rd
Madison, WI 53716-2257
Phone (314) 989-6807
Other practice location 4
163 E Bethalto Dr
Bethalto, IL 62010-1801
Phone (618) 433-6640
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902217540 | Medicaid | WI | |
| 209011350 | Medicaid | IL |
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bbyrd3315@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | bbyrd3315@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MO, WI, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
163 E Bethalto Dr
Bethalto, IL 62010-1801
Phone (618) 433-6490
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13397-30 | WI | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| SSM Health Care St. Louis | Current | Accepting new patients | |
| Dean Health Systems, Inc | Current | Accepting new patients | |
| SSM Health Care St Louis | Current | Accepting new patients | |
| Fairview Heights Medical Group SC | Current | Accepting new patients | |
| Interventional Pain Consultants LLC | Current | Accepting new patients | |
| Saints Medical Group, LLC | Current | Accepting new patients | |
| Saints Medical Group, LLC | Current | Accepting new patients | |
| Physician Services Corporation of Southern Illinois Inc. | Current | Accepting new patients | |
| Interventional Pain Consultants LLC | Nurse Practitioner | Current | Accepting new patients |
| Regenerative Health and Chiropractic, LTD | Current | Accepting new patients | |
| Fairview Heights Medical Group SC | Current | Accepting new patients |
Locations
1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240
3 Professional Dr
Ste B
Alton, IL 62002
Phone (618) 219-0855
4 Memorial Dr
Ste 230
Alton, IL 62002
Phone (618) 463-7874
163 E Bethalto Dr
Bethalto, IL 62010
Phone (618) 433-6490
1003 E McCord St
Centralia, IL 62801
Phone (618) 436-5231
7344 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-6189
2013 Johnson Rd
Ste D
Granite City, IL 62040
Phone (618) 931-2050
2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944
602 S 42nd St
#A
Mount Vernon, IL 62864
Phone (618) 899-3777
705 S Grand St
Nashville, IL 62263
Phone (618) 327-2200
4972 Benchmark Centre Dr
Swansea, IL 62226
Phone (618) 622-0303
3221 McKelvey Rd
Ste 301
Bridgeton, MO 63044
1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000
1120 Shackelford Rd
Florissant, MO 63031
Phone (314) 830-5805
2022 Dorsett Vlg
Maryland Heights, MO 63043
Phone (314) 520-0520
3555 Sunset Office Dr
Ste C100
Saint Louis, MO 63127
Phone (314) 238-9100
660 Mason Ridge Center Dr
Saint Louis, MO 63141
Phone (314) 273-6433
1035 Bellevue Ave
Ste 500
Saint Louis, MO 63117
Phone (314) 647-1115
30 Ronnies Plz
Sappington, MO 63126
Phone (314) 748-5800
777 NW 63rd St
Ste 452
Oklahoma City, OK 73116
608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737
1821 S Stoughton Rd
Madison, WI 53716
Phone (608) 260-6000
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Interoperability endpoints
- bbyrd3315@direct-ehr-ssmhc.com
Organizations & group practices 12
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Alton, IL
- NPI 1225522063
Nurse Practitioner
-
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
-
- Physical Medicine & Rehabilitation Physician
- Granite City, IL
- NPI 1205571262
-
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1437195922
-
- Emergency Medicine Physician
- Fenton, MO
- NPI 1275586174
-
- Interventional Pain Medicine Physician
- Maryville, IL
- NPI 1568078087
-
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1073022000
-
- Durable Medical Equipment & Medical Supplies
- Edmond, OK
- NPI 1730907700
-
- Cardiovascular Disease Physician
- Bridgeton, MO
- NPI 1376598599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758844800000",
"number": "1902217540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "163 E BETHALTO DR",
"city": "BETHALTO",
"state": "IL",
"postal_code": "620101801",
"telephone_number": "618-433-6640"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 MEMORIAL DR STE 230",
"city": "ALTON",
"state": "IL",
"postal_code": "620026704",
"telephone_number": "618-463-7874"
}
],
"practiceLocations": [
{
"address_1": "3 Professional Dr Ste B",
"address_purpose": "LOCATION",
"city": "Alton",
"state": "IL",
"postal_code": "620025067",
"country_code": "US",
"telephone_number": "618-465-7177",
"fax_number": "618-465-7176",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 Howdershell Rd",
"address_purpose": "LOCATION",
"city": "Florissant",
"state": "MO",
"postal_code": "630316450",
"country_code": "US",
"telephone_number": "314-687-2727",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1821 S Stoughton Rd",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537162257",
"country_code": "US",
"telephone_number": "314-989-6807",
"fax_number": "314-989-2940",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "163 E Bethalto Dr",
"address_purpose": "LOCATION",
"city": "Bethalto",
"state": "IL",
"postal_code": "620101801",
"country_code": "US",
"telephone_number": "618-433-6640",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BYRD",
"first_name": "BRANDY",
"middle_name": "M",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-05-16",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IL",
"license": "209011350",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209011350",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "WI",
"license": "13397-30",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2015018041",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1902217540",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209011350",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bbyrd3315@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "bbyrd3315@direct-ehr-ssmhc.com",
"address_1": "500 Howdershell Rd",
"city": "Florissant",
"state": "MO",
"country_code": "US",
"postal_code": "630316450",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "500 Howdershell Rd",
"city": "Florissant",
"state": "MO",
"country_code": "US",
"postal_code": "630316450",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1821 S Stoughton Rd",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537162257",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bbyrd3315@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"useOtherDescription": "bbyrd3315@direct-ehr-ssmhc.com",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "bbyrd3315@direct-ehr-ssmhc.com",
"address_1": "1821 S Stoughton Rd",
"city": "Madison",
"state": "WI",
"country_code": "US",
"postal_code": "537162257",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "BJC",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "163 E Bethalto Dr",
"city": "Bethalto",
"state": "IL",
"country_code": "US",
"postal_code": "620101801",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Alton, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.