Provider Demographics
NPI:1417987934
Name:BYRNE, JAMES D (MD)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:D
Last Name:BYRNE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:20 WEST BUNK STREET
Mailing Address - Street 2:SUITE 7 DISTRICT 19 COMMUNITY SERVICES BOARD
Mailing Address - City:PETERSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23803-3279
Mailing Address - Country:US
Mailing Address - Phone:804-862-8054
Mailing Address - Fax:804-863-1669
Practice Address - Street 1:20 WEST BUNK STREET
Practice Address - Street 2:SUITE 6
Practice Address - City:PETERSBURG
Practice Address - State:VA
Practice Address - Zip Code:23803-3279
Practice Address - Country:US
Practice Address - Phone:804-862-8002
Practice Address - Fax:804-862-8023
Is Sole Proprietor?:No
Enumeration Date:2006-07-03
Last Update Date:2014-12-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01012371712084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA4670720OtherAETNA
VA186451OtherANTHEM BCBS
VA080441MOtherSENTARA
VA4945280Medicaid
VA521650OtherVALUE OPTIONS
VA560703000OtherMAGELLAN
VA010238315Medicaid
VA3128536OtherALLIANCE PPO
VA080441MOtherSENTARA
VA4945280Medicaid