NPIMap

Organization Active NPI

W Brian Byrd MD PA

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1992867923
Registry record updated Dec 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K7678 Issued in TX
Legal business name
W BRIAN BYRD MD PA
Practice address
6100 Harris Pkwy Ste 1240
Fort Worth, TX 76132-4248
Phone
(817) 789-6333
Fax
(817) 433-5177
NPI assigned
Dec 15, 2006
Last updated
Dec 6, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2022

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

Authorized official

Name
Veronica Ann Perez
Title
Office Manager
Phone
(817) 789-6333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X K7678 TX Primary

Addresses

Primary practice location

6100 Harris Pkwy Ste 1240
Fort Worth, TX 76132-4248

Mailing address

6100 Harris Pkwy Ste 1240
Fort Worth, TX 76132-4248
Phone (817) 789-6333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040805000318 TX Part B Supplier - Clinic/Group Practice 4385615640 Receives reassigned benefits from 10 practitioners
Practice locations: Fort Worth, TX

National Provider Directory

National Provider Directory

Locations

4400 Oak Park Ln
#33292
Fort Worth, TX 76109

6100 Harris Pkwy
Ste 1240
Fort Worth, TX 76132
Phone (817) 433-5155

6100 Harris Pkwy
Ste 250
Ft Worth, TX 76132
Phone (817) 433-1430

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670284800000",
    "number": "1992867923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY STE 1240",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324248",
            "telephone_number": "817-789-6333",
            "fax_number": "817-433-5177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 HARRIS PKWY STE 1240",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761324248",
            "telephone_number": "817-789-6333",
            "fax_number": "817-433-5177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "W BRIAN BYRD MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A",
        "authorized_official_last_name": "PEREZ",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-789-6333"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K7678",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.