Individual
DR. ROBERT WOOD BYRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1725 MCINTOSH ST, BOWLING GREEN, KY 42104-1037
(270) 793-9229
(270) 793-9076
Mailing address
1310 NEW CUT RD, BOWLING GREEN, KY 42103-8404
(270) 783-4202
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
34304
KY
208VP0000X
Pain Medicine Physician
34304
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000051792
ANTHEM BCBS
KY
01
—
1159636
PASSPORT MEDICAID
KY
01
—
2300063
UMWA
KY
01
—
2500010452
RR MEDICARE
KY
05
—
64343403
—
KY
01
—
8201
KENTUCKY WC
KY
Enumeration date
12/01/2006
Last updated
09/18/2017
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