DR. CAMERON BYRD (MD) – Emergency Medicine Physician, NPI 1104567775

DR. CAMERON BYRD (MD) is a healthcare provider. based in Brooklyn, New York. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 339546 (NY). The NPI Number for DR. CAMERON BYRD (MD) is 1104567775

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
DR. CAMERON BYRD (MD)
NPI
1104567775
Phone
Not provided
Address
1 BROOKDALE PLZ
Enumeration Date
6 April 2022
Last Update Date
7 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7186134000
Graduation Year
2022 (4 years ago)
PAC ID
2961908371
Group Practice PAC ID
7012186638
Professional Enrollment ID
I20251003003066
Address ID
NY112131122BR1545XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness85
Years active:4State licenses:1Digital endpointsOther names

4,917 EMERGENCY MEDICINE in NY

Provider Addresses for DR. CAMERON BYRD (MD)

  • 1 BROOKDALE PLZ

    BROOKLYN, NY 112123198

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-10-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251003003066IEmergency MedicineNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 11212)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012186638View full group profile
NameSpecialtyState
Emergency MedicineNY
Emergency MedicineNY
Emergency MedicineFL
Emergency MedicineIL
Nurse PractitionerNY
Internal MedicineNY
Emergency MedicineKY
Emergency MedicineNY
Emergency Medicine, Internal MedicineNY
Emergency MedicineNY

Reviews

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Frequently asked questions

How is DR. CAMERON BYRD (MD) identified in CMS data?
CMS-hosted NPPES data lists DR. CAMERON BYRD (MD) with NPI 1104567775.
Can I rely on DR. CAMERON BYRD (MD) being an active provider?
As of the registry snapshot, DR. CAMERON BYRD (MD) is marked active.
What is DR. CAMERON BYRD (MD)'s primary classification?
Emergency Medicine Physician is the headline specialty for DR. CAMERON BYRD (MD) here. Clinical services aligned with this taxonomy classification.
What area does DR. CAMERON BYRD (MD) serve?
DR. CAMERON BYRD (MD)'s listing highlights Brooklyn, New York; more addresses can appear in NPPES.
Why does DR. CAMERON BYRD (MD) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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