Provider Demographics
NPI:1619074804
Name:BYRD, CHRISTOPHER SOTHORON (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:SOTHORON
Last Name:BYRD
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2000 PERIMETER PARK DR STE 200
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8442
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:781 AVENT FERRY RD
Practice Address - Street 2:SUITE 206
Practice Address - City:HOLLY SPRINGS
Practice Address - State:NC
Practice Address - Zip Code:27540-7776
Practice Address - Country:US
Practice Address - Phone:919-552-8914
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200200501207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC177872OtherWELL PATH
NC80188600OtherRAILROAD MEDICARE
NC8743552OtherCIGNA
NC89132GNMedicaid
NC132GNOtherBLUE CROSS BLUE SHIELD
NC2234493OtherUNITED HEALTH CARE
NC2234493OtherUNITED HEALTH CARE
NC80188600OtherRAILROAD MEDICARE