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1033167945

NPI Code Detail

MEDICARE: BEVERLY A BYRD M.D.

MEDICARE: BEVERLY A BYRD M.D.

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	207V00000X	Obstetrics & Gynecology Physician	2017-01649	NC
2	207V00000X	Obstetrics & Gynecology Physician	18058	NH
3	207V00000X	Obstetrics & Gynecology Physician	039292	CT

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	412113050	OTHER		UNITED HEALTHCARE
2	00139292702	OTHER		BLUDE CARE FAMILY PLAN
3	230491	OTHER		PREFERRED ONE
4	039292	OTHER		CONNECTICARE
5	P3074366	OTHER		OXFORD
6	2V4200	OTHER		HEALTHNET
7	010039292CT04	OTHER		ANTHEM
8	3390202	OTHER		AETNA
9	4121133150	OTHER		CIGNA

General Provider Information

NPI Number	:	1033167945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEVERLY A BYRD M.D.

Provider Business Mailing Address
First Line	:	128 N EDGEDALE DR
Second Line	:
City	:	ELKIN
State	:	NC
Zip	:	28621-2936
Country	:	US
Telephone Number	:	860-614-1549
Fax Number	:

Provider Business Practice Location Address
First Line	:	180 PARKWOOD DR
Second Line	:
City	:	ELKIN
State	:	NC
Zip	:	28621-2430
Country	:	US
Telephone Number	:	336-527-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	11/11/2022

Similar Medicare Providers

1609821289 — MR. WADE ASHLEY MARION PA
Practice Location Address:

180 PARKWOOD DR
ELKIN, NC
28621-2430

Practice Phone: 336-527-7217
Practice Fax:

1598754772 — DR. JAMES WILLIAM WHELAN M.D.
Practice Location Address:

180 PARKWOOD DR
ELKIN, NC
28621-2430

Practice Phone: 336-527-7000
Practice Fax: 336-536-6056

1740252469 — MURUGANANTHAN PUDUNAGAR SUBBIAH M.D.
Practice Location Address:

180 PARKWOOD DR
ELKIN, NC
28621-2430

Practice Phone: 336-527-7000
Practice Fax: 336-526-6056

1245204130 — JOHN T. VENUS MD
Practice Location Address:

150 PARKWOOD DR
ELKIN, NC
28621-2430

Practice Phone: 336-835-5945
Practice Fax: 336-835-5974

1922077296 — ERMA MARIE COOKE II NNP - BC
Practice Location Address:

180 PARKWOOD DR
ELKIN, NC
28621-2430

Practice Phone: 336-527-7000
Practice Fax:

1134189517 — MARK HAMPTON HARRIS PA-C
Practice Location Address:

180 PARKWOOD DR
ELKIN, NC
28621-2430

Practice Phone: 336-527-7472
Practice Fax: 336-835-8752

Directions to “ BEVERLY A BYRD M.D.” Practice Location

Language	Start Address	Practice Location

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