SAMUEL J BYRD M.D.
NPI 1790788081
Family Medicine in Vincennes, IN

Active since May 31, 2005
1621 WILLOW ST, VINCENNES, IN 47591(812) 882-2400(812) 882-2422 Get Directions Write a Review

NPPES record last updated: May 17, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Samuel J Byrd M.d. NPPES

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

SAMUEL J BYRD M.D. (NPI 1790788081) is an individual family medicine provider in Vincennes, Indiana, licensed in Indiana (01058714A) and active in the NPI registry since May 2005.

NPPES Registry Identity

NPI1790788081
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSAMUEL J BYRDCredential: M.D.
Location Address1621 WILLOW STVincennes, IN 47591-4211
Mailing AddressPo Box 665Vincennes, IN 47591-0665 · (812) 882-2400 · Fax (812) 882-2422
Fax(812) 882-2422
Sole ProprietorNo
Enumeration DateMay 31, 2005
Last NPPES UpdateMay 17, 2011
NPI 1790788081 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IN · 01058714A
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1621 WILLOW ST, Vincennes, IN 47591

Other Identifiers 5

Medicare UPINI12758IN
Medicare PIN257900BIN
Other000000325459IN · Bcbs Pin
Medicare ID-Type Unspecified849950HIN
Medicaid200475520IN

Other Providers at the Same Location NPPES

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

Family Medicine
1621 WILLOW ST
VINCENNES, IN 47591

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 Samuel Byrd's NPI number?

The NPI number for Samuel Byrd is 1790788081. It was assigned to this individual provider in the NPPES registry on May 31, 2005.

Where is Samuel Byrd located?

Samuel Byrd practices at 1621 Willow St, Vincennes, IN 47591. The listed phone number is (812) 882-2400.

What is Samuel Byrd's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Samuel Byrd was last updated on May 17, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.