Individual provider Active NPI

William R Harper Jr., PA-C

  • Medical Physician Assistant
  • Tampa, FL
National Provider Identifier
1114911427
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA2167 Issued in FL
Practice address
10150 Highland Manor Dr Ste 205
Tampa, FL 33610-9727
Phone
(813) 259-1013
Fax
(813) 254-0396
NPI assigned
Sep 1, 2005
Last updated
May 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA2167 FL Primary

Addresses

Primary practice location

10150 Highland Manor Dr Ste 205
Tampa, FL 33610-9727

Mailing address

10150 Highland Manor Dr Ste 205
Tampa, FL 33610-9727
Phone (813) 259-1013

Other identifiers 2

IdentifierTypeStateIssuer
Y00Z3OtherFLBC/BS FLA
290336900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091218000295 FL Practitioner - Physician Assistant 4385784552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bluestone Physician Services Southeast LLCGroup PAC ID 9739086257, 25 clinicians

Practice addresses (Care Compare)

10150 Highland Manor Dr
Suite 205
Tampa, FL 33610-9727
Phone (813) 259-1013

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA2167FLMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bluestone Physician Services Southeast LLC CurrentSince Jan 9, 2013 Accepting new patients
Rural Medical Associates Inc Past Accepting new patients

Locations

605 Lamar Ave
Brooksville, FL 34601
Phone (352) 796-9990

10150 Highland Manor Dr
Ste 205
Tampa, FL 33610
Phone (813) 259-1013

10150 Highland Manor Dr
Ste 240
Tampa, FL 33610
Phone (813) 259-1013

270 Main St N
Ste 300
Stillwater, MN 55082
Phone (651) 342-1039

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1114911427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 HIGHLAND MANOR DR STE 205",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109727",
            "telephone_number": "813-259-1013",
            "fax_number": "813-254-0396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 HIGHLAND MANOR DR STE 205",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336109727",
            "telephone_number": "813-259-1013",
            "fax_number": "813-254-0396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARPER",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-01",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA2167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS FLA",
            "identifier": "Y00Z3",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "290336900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.