Provider Demographics
NPI:1033572474
Name:BYRD, THOMAS FREDERICK IV (MD)
Entity Type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:FREDERICK
Last Name:BYRD
Suffix:IV
Gender:M
Credentials:MD
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Mailing Address - Street 1:MAYO MAIL CODE 741
Mailing Address - Street 2:420 DELAWARE ST SE
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-624-8984
Mailing Address - Fax:612-624-3189
Practice Address - Street 1:500 HARVARD ST SE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455-0363
Practice Address - Country:US
Practice Address - Phone:612-624-8984
Practice Address - Fax:612-624-3189
Is Sole Proprietor?:No
Enumeration Date:2016-04-02
Last Update Date:2021-09-21
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Provider Licenses
StateLicense IDTaxonomies
IL036.148224208M00000X
MN69253208M00000X
IL125.068304208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist