Individual provider Active NPI

Kerry Wendell Byrd, MD

  • Family Medicine Physician
  • Rutherford College, NC
National Provider Identifier
1932298007
Registry record updated Dec 28, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
33797 Issued in NC
Practice address
99 Griffin Street
Rutherford College, NC 28671-0806
Phone
(828) 874-1316
Fax
(828) 874-1092
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 33797 NC Primary

Addresses

Primary practice location

99 Griffin Street
Rutherford College, NC 28671-0806

Mailing address

99 Griffin Street
PO Box 806
Rutherford College, NC 28671-0806
Phone (828) 874-1316

Other identifiers 1

IdentifierTypeStateIssuer
8920610MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100831000219 NC Practitioner - Family Practice 3072564632 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wake Forest University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valdese Family Practice PAGroup PAC ID 4284685843, 3 clinicians

Practice addresses (Care Compare)

99 Griffin St
Rutherford College, NC 28671-0806
Phone (828) 874-1316

Hospital & facility affiliations

  • Gentiva Health Services Home health agency, Hickory, NC, CCN 347300
  • Blue Ridge Healthcare Hospitals, Inc Hospital, Morganton, NC, CCN 340075
  • Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33797NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valdese Family Practice, PA Family Medicine CurrentSince Sep 1, 1997 Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261958400000",
    "number": "1932298007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 GRIFFIN STREET",
            "address_2": "PO BOX 806",
            "city": "RUTHERFORD COLLEGE",
            "state": "NC",
            "postal_code": "286710806",
            "telephone_number": "828-874-1316",
            "fax_number": "828-874-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 GRIFFIN STREET",
            "city": "RUTHERFORD COLLEGE",
            "state": "NC",
            "postal_code": "286710806",
            "telephone_number": "828-874-1316",
            "fax_number": "828-874-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "KERRY",
        "middle_name": "WENDELL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2009-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "33797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8920610",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rutherford College, NC

Sources for this page

Verify at the official NPI Registry.