Provider Demographics
NPI:1396744488
Name:BYRD, GREGORY S (MD)
Entity type:Individual
Prefix:
First Name:GREGORY
Middle Name:S
Last Name:BYRD
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Gender:M
Credentials:MD
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Mailing Address - Street 1:220 CAMPUS BLVD
Mailing Address - Street 2:STE 200
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2889
Mailing Address - Country:US
Mailing Address - Phone:540-536-5100
Mailing Address - Fax:540-536-0235
Practice Address - Street 1:759 S MAIN ST
Practice Address - Street 2:STE. 300
Practice Address - City:WOODSTOCK
Practice Address - State:VA
Practice Address - Zip Code:22664-1127
Practice Address - Country:US
Practice Address - Phone:540-459-1540
Practice Address - Fax:540-459-1486
Is Sole Proprietor?:No
Enumeration Date:2005-07-20
Last Update Date:2021-09-08
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Provider Licenses
StateLicense IDTaxonomies
VA0101052702207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006048005Medicaid
VA200673OtherBCBS
VA006048005Medicaid
VAF96946Medicare UPIN