Individual provider Active NPI

William F Spencer, MD

  • Urology Physician
  • Royal Oak, MI
National Provider Identifier
1053393819
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
4301055796 Issued in MI
Practice address
31157 Woodward Ave
Royal Oak, MI 48073-0926
Phone
(248) 336-0123
Fax
(248) 336-3190
NPI assigned
Nov 17, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 4301055796 MI Primary

Addresses

Primary practice location

31157 Woodward Ave
Royal Oak, MI 48073-0926

Mailing address

31157 Woodward Ave
Royal Oak, MI 48073-0926
Phone (248) 336-0123

Other identifiers 9

IdentifierTypeStateIssuer
4973461MedicaidMI
131404OtherMIPREFERRED CARE CHOICES
3406313451OtherMIBCBSM INDIVIDUAL NUMBER
WS055796OtherMIBLUE SHEILD LICENSE NUMBE
266621010MedicaidMI
C7403OtherMIMCARE
4406806OtherMIAETNA
340003663OtherMIRAILROAD MEDICARE
E62011OtherMIHAP

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address direct@direct.bronsonhg.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20070327000663 MI Practitioner - Urology 2466405071 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Michigan Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bronson Battle Creek HospitalGroup PAC ID 0547173478, 187 clinicians

Practice addresses (Care Compare)

4441 Capital Ave SW
Bronson Urology Specialists
Battle Creek, MI 49015-9359
Phone (269) 788-6888

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.91 of 100Reported as group
Quality
83.03
Promoting interoperability
100
Improvement activities
40
Cost
76.65

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson Battle Creek Hospital CurrentSince Jul 21, 2019 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Nov 1, 2011 Accepting new patients
Michigan Healthcare Professionals PC CurrentSince Nov 1, 2011 Accepting new patients
Beaumont Medical Group- Specialty Services CurrentSince Aug 18, 2018 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Jul 21, 2019 Accepting new patients

Locations

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

4441 Capital Ave SW
Battle Creek, MI 49015
Phone (269) 788-6880

27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552

29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430

28100 Grand River Ave
Ste 301
Farmington Hills, MI 48336
Phone (947) 521-1320

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300

3535 W 13 Mile Rd
Royal Oak, MI 48073
Phone (248) 551-1010

31157 Woodward Ave
Royal Oak, MI 48073
Phone (248) 288-2250

3535 W 13 Mile Rd
Ste 404
Royal Oak, MI 48073
Phone (248) 551-0640

Interoperability endpoints

  • Direct secure messaging: wspencer23976@direct.bronsonhg.org
  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 5

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1053393819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31157 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730926",
            "telephone_number": "248-336-0123",
            "fax_number": "248-336-3190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31157 WOODWARD AVE",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480730926",
            "telephone_number": "248-336-0123",
            "fax_number": "248-336-3190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "WILLIAM",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MI",
            "license": "4301055796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4973461",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED CARE CHOICES",
            "identifier": "131404",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM INDIVIDUAL NUMBER",
            "identifier": "3406313451",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHEILD LICENSE NUMBE",
            "identifier": "WS055796",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266621010",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCARE",
            "identifier": "C7403",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4406806",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "340003663",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HAP",
            "identifier": "E62011",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care Document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

Verify at the official NPI Registry.