NPIMap

Individual provider Active NPI

William C Draper, DO

  • Family Medicine Physician
  • Bountiful, UT
National Provider Identifier
1053978387
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
12799480-1204 Issued in UT
Practice address
520 Medical Dr Ste 300
Bountiful, UT 84010-8925
Phone
(801) 292-1422
Fax
(801) 296-0436
NPI assigned
May 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 12799480-1204 UT Primary

Addresses

Primary practice location

520 Medical Dr Ste 300
Bountiful, UT 84010-8925

Mailing address

4901 W Dock St
South Jordan, UT 84009-6136
Phone (801) 505-8012

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, UT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211115000172 FL Practitioner - Family Practice 4789073727 Reassigns benefits to 1 organization
I20220706002060 UT Practitioner - Family Practice 4789073727 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Joshua Oaks MD PLLCGroup PAC ID 0840776688, 31 clinicians

Practice addresses (Care Compare)

520 Medical Dr
Suite 300
Bountiful, UT 84010-8925
Phone (801) 292-1422

Hospital & facility affiliations

  • Symbii Davis Hospice Hospice, Bountiful, UT, CCN 461514
  • Lakeview Hospital Hospital, Bountiful, UT, CCN 460042
  • University of Utah Hospital and Clinics Hospital, Salt Lake City, UT, CCN 460009

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions18
Removal of nail tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12799480-1204UTMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Nov 9, 2021 Accepting new patients
Joshua Oaks MD PLLC Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
MD Now Medical Centers Inc CurrentSince Nov 9, 2021 Accepting new patients

Locations

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

2007 Palm Beach Lakes Blvd
West Palm Beach, FL 33409

520 Medical Dr
Ste 300
Bountiful, UT 84010
Phone (801) 292-1422

763 N Redwood Rd
Ste 110
North Salt Lake, UT 84054
Phone (801) 292-1423

Networks

  • UT PPO D-SNP
  • UT PPO

Interoperability endpoints

  • Direct secure messaging: lmcwdrape@yourcarecommunity.org
  • Direct secure messaging: william.draper.1@16218.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Symbii Davis Home HealthBountiful, UT, CCN 467081 Home health agency Contracted Managing Employee May 1, 2024
Symbii Davis HospiceBountiful, UT, CCN 461514 Hospice Contracted Managing Employee May 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 5

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": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1053978387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4901 W DOCK ST",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840096136",
            "telephone_number": "801-505-8012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MEDICAL DR STE 300",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840108925",
            "telephone_number": "801-292-1422",
            "fax_number": "801-296-0436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "UT",
            "license": "12799480-1204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bountiful, UT

Sources for this page

Verify at the official NPI Registry.