Provider Type Icon

DR. DOUGLAS WILLIAM BYERLY M.D. PH.D NPI 1720202468


NPI Information

NPI: 1720202468
Provider Name: DR. DOUGLAS WILLIAM BYERLY, M.D., PH.D
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
1100 WILFORD HALL LOOP, BLDG 4554
ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX
ZIP 78236
Phone: (210) 292-6225
Get Directions

DR. Douglas William Byerly, M.D., PH.D is a diagnostic radiology radiology in Jbsa Lackland, TX with 18 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Douglas William Byerly, M.D., PH.D NPI is 1720202468. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1100 WILFORD HALL LOOP, BLDG 4554
ATTN: 59 MDW/SGHC
JBSA LACKLAND, TX
ZIP 78236-908
Phone: (210) 292-6225

The NPI 1720202468 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/12/2007 and was last updated on 2/9/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology24542NEBRASKANo
22085R0202XRadiologyDiagnostic RadiologyS0853TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.