Healthcare Provider Details

I. General information

NPI: 1437778800
Provider Name (Legal Business Name): DESTINI SMITH BYRD MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DESTINI ALIYAH SMITH

II. Dates (important events)

Enumeration Date: 04/15/2020
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 19TH ST S
BIRMINGHAM AL
35233-1900
US

IV. Provider business mailing address

625 19TH ST S
BIRMINGHAM AL
35233-1900
US

V. Phone/Fax

Practice location:
  • Phone: 205-638-9100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0402X
TaxonomyNeurology with Special Qualifications in Child Neurology Physician
License Number43236
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: