Provider Demographics
NPI:1154378115
Name:BYRD, WILLIAM E (MD)
Entity type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:E
Last Name:BYRD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:240 SMITH CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:ROANOKE RAPIDS
Mailing Address - State:NC
Mailing Address - Zip Code:27870-4903
Mailing Address - Country:US
Mailing Address - Phone:252-535-1082
Mailing Address - Fax:252-537-8440
Practice Address - Street 1:240 SMITH CHURCH RD
Practice Address - Street 2:
Practice Address - City:ROANOKE RAPIDS
Practice Address - State:NC
Practice Address - Zip Code:27870-4903
Practice Address - Country:US
Practice Address - Phone:252-535-1082
Practice Address - Fax:252-537-8440
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC16837207RG0300X, 207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA075832OtherBCBS
NC8920597Medicaid
NC024P1OtherBC
SC6600001739OtherRAILROAD MEDICARE
NC8920597Medicaid
NC205201EMedicare Oscar/Certification