National Provider Identifier Database

JERRY D BYRUM, MD – NPI #1194789685
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.


Contact Information

JERRY D BYRUM, MD
904 AUTUMN RD
SUITE 100
LITTLE ROCK, AR72211-3742
Phone: 501-224-5437
Fax: 501-224-3473
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for JERRY D BYRUM

NPI Number 1194789685
Credentials MD
Entity Individual
Enumeration date 04/13/2006
Last updated 11/03/2011 - About 15 years ago
Sole proprietor1 Yes
Identifiers
  • AR License #: C6800
  • AR Medicaid: 114501001
  • AR Other: 4208764 AETNA
  • AR Other: 516264 HEALTHLINK
  • AR Other: 11282000000 QUALCHOICE
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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