William Gerry Morgan Hardison, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

GFE27993 Issued in CA

Practice address

4969 Santa Cruz Ave
San Diego, CA 92107-3310

Phone

(619) 487-0273

NPI assigned

May 31, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1073874566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4969 SANTA CRUZ AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073310",
            "telephone_number": "619-487-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4969 SANTA CRUZ AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073310",
            "telephone_number": "619-487-0273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDISON",
        "first_name": "WILLIAM",
        "middle_name": "GERRY MORGAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "GFE27993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Hardin, IDC
• Charmaine Florine Harding, CMT, HHP
• Debrah Harding, ND
• Jerome Stanley Harding II, IDC
• Katelyn Harding, PA-C
• Lien Annabel Hardister, BEHAVIOR TECHNICIAN
• Denise Jill Hardman
• Hannah Ashton Hardman
• Norman G. Hardman, PT
• Paul David Hardman, D.M.D.

• Internal Medicine Physician in San Diego, CA
• Providers in San Diego, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.