Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Banister River Emergency Physicians LLC

Organization Emergency Medicine Physician · NPI 1205381621

Banister River Emergency Physicians LLC is an Emergency Medicine Physician in South Boston, Virginia. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2204 Wilborn Ave
South Boston, VA 24592-1645
Phone: (469) 401-2386
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X
Physician Assistant Taxonomy 363A00000X
Nurse Practitioner Taxonomy 363L00000X

Record details

NPI number1205381621
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gregory Byrne — President · (469) 401-2386
NPI enumeratedAugust 16, 2016
Last updated in NPPESAugust 16, 2016
Mailing address13737 Noel Rd Ste 1600, Dallas, TX 75240-1374

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