MEDICARE: JAMES K BYRD III MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	00026682	AL

General Provider Information

NPI Number	:	1558540351
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JAMES K BYRD III MD PC

Provider Business Mailing Address
First Line	:	420 LOWELL DR SE STE 103
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-3755
Country	:	US
Telephone Number	:	256-535-5940
Fax Number	:	256-535-5954

Provider Business Practice Location Address
First Line	:	420 LOWELL DR SE STE 300
Second Line	:
City	:	HUNTSVILLE
State	:	AL
Zip	:	35801-3762
Country	:	US
Telephone Number	:	256-535-5972
Fax Number	:	256-535-5954

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES K BYRD III
Credential	:	MD
Telephone Number	:	256-535-5972

Provider Enumeration Date	:	10/29/2007
Last Update Date	:	01/02/2013

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