William Perry Edenfield Jr., M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

20-18692 Issued in SC

Practice address

2720 Sunset Blvd
Radiology Department
West Columbia, SC 29169-4810

Phone

(803) 791-2000

Fax

(803) 791-2660

NPI assigned

Jul 4, 2006

Last updated

Nov 1, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Imagecare LLC

  • Diagnostic Radiology Physician
  • Columbia, SC
  • NPI 1174596852
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193875200000",
    "number": "1053341792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10335 N PORT WASHINGTON RD",
            "address_2": "SUITE 250",
            "city": "MEQUON",
            "state": "WI",
            "postal_code": "530925763",
            "telephone_number": "262-240-9870",
            "fax_number": "262-240-9869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 SUNSET BLVD",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291694810",
            "telephone_number": "803-791-2000",
            "fax_number": "803-791-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDENFIELD",
        "first_name": "WILLIAM",
        "middle_name": "PERRY",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2007-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "20-18692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186925",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ansleigh Rae Eaves
• Renee F Eaves, CRNA
• Eckerd Corporation (Rite Aid Pharmacy)
• Marissa Jane Eckley, MD
• Crystal Eddy, LMSW, MPH, BCBA
• Maeghan Edge, PTA
• Kimberly Jewell Edgren, PT
• Mahalia Edmonds
• Thomas Ray Edmonds, D.M.D.
• Carl Lee Edwards

• Diagnostic Radiology Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Diagnostic Radiology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.