Provider Demographics
NPI:1740285824
Name:VYBIRAL, TOMAS (MD)
Entity type:Individual
Prefix:DR
First Name:TOMAS
Middle Name:
Last Name:VYBIRAL
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:PO BOX 249
Mailing Address - Street 2:
Mailing Address - City:YADKINVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27055-0249
Mailing Address - Country:US
Mailing Address - Phone:336-679-4963
Mailing Address - Fax:336-679-2549
Practice Address - Street 1:640 PARKWOOD MEDICAL PARK
Practice Address - Street 2:
Practice Address - City:ELKIN
Practice Address - State:NC
Practice Address - Zip Code:28621-2487
Practice Address - Country:US
Practice Address - Phone:336-526-7997
Practice Address - Fax:336-526-3537
Is Sole Proprietor?:No
Enumeration Date:2005-06-16
Last Update Date:2023-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC36845207RC0000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC11397OtherCIGNA HMO
NC2184793COtherMEDICARE OF NC
NC56689OtherMEDCOST
NC110141502OtherMEDICARE RAILROAD
NC1143921OtherUNITED HEALTHCARE
NC36312OtherCIGNA PPO
NC4339030OtherAETNA
NC85145OtherBCBS OF NC
NC8985145Medicaid
NC2756176OtherAETNA HMO
NC2756176OtherAETNA HMO
NC4339030OtherAETNA
NC8985145Medicaid
NCF50250Medicare UPIN