CHARLES R. BYRD MD A PROFESSIONAL
NPI 1124042585
Specialist in Shreveport, LA

Active since July 27, 2006
2751 ALBERT L BICKNELL DR, STE 3-D, SHREVEPORT, LA 71103(318) 221-4755(318) 424-3642 Get Directions Write a Review

NPPES record last updated: August 26, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles R. Byrd Md A Professional NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES R. BYRD MD A PROFESSIONAL (NPI 1124042585) is a healthcare organization registered as a specialist in Shreveport, Louisiana and active in the NPI registry since July 2006. The organization lists Kathy Hawthorne, Lpn, as its authorized official.

NPPES Registry Identity

NPI1124042585
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCHARLES R. BYRD MD A PROFESSIONAL
Location Address2751 ALBERT L BICKNELL DR, STE 3-DShreveport, LA 71103-3920
Mailing Address2751 Albert L Bicknell Dr, Ste 3-dShreveport, LA 71103-3920 · (318) 221-4755 · Fax (318) 424-3642
Fax(318) 424-3642
Organization SubpartNo
Authorized OfficialKathy HawthorneLpn · (318) 221-4755
Enumeration DateJuly 27, 2006
Last NPPES UpdateAugust 26, 2011
NPI 1124042585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2751 ALBERT L BICKNELL DR, Shreveport, LA 71103

Other Identifiers 3

Medicaid1449768LA
Medicare PIN50762CH59LA
Medicare UPINB62956LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
2751 ALBERT L BICKNELL DR, SUITE 5-A
SHREVEPORT, LA 71103
Nurse Practitioner (Family)
2751 ALBERT L BICKNELL DR, SUITE 1A
SHREVEPORT, LA 71103
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2751 ALBERT L BICKNELL DR, SUITE 5C
SHREVEPORT, LA 71103
Transplant Surgery
2751 ALBERT L BICKNELL DR, 4TH FLOOR
SHREVEPORT, LA 71103
Surgery
2751 ALBERT L BICKNELL DR, SUITE 3D
SHREVEPORT, LA 71103
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2751 ALBERT L BICKNELL DR, SUITE 5C
SHREVEPORT, LA 71103
Surgery
2751 ALBERT L BICKNELL DR, SUITE 3D
SHREVEPORT, LA 71103
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2751 ALBERT L BICKNELL DR, SUITE 3B
SHREVEPORT, LA 71103

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles R. Byrd MD A Professional's NPI number?

The NPI number for Charles R. Byrd MD A Professional is 1124042585. It was assigned to this organization in the NPPES registry on July 27, 2006.

Where is Charles R. Byrd MD A Professional located?

Charles R. Byrd MD A Professional is located at 2751 Albert L Bicknell Dr Ste 3-D, Shreveport, LA 71103. The listed phone number is (318) 221-4755.

What is Charles R. Byrd MD A Professional's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Charles R. Byrd MD A Professional was last updated on August 26, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.