Individual provider Active NPI

William Albert Gonzales Jr., MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Pueblo, CO
National Provider Identifier
1124055256
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
DR.0030940 Issued in CO
Practice address
509 E 13TH St
Pueblo, CO 81001-2940
Phone
(719) 546-6666
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X DR.0030940 CO Primary

Addresses

Primary practice location

509 E 13TH St
Pueblo, CO 81001-2940

Mailing address

7 Carefree CT
Pueblo, CO 81001-1763
Phone (719) 542-3246

Other practice location 1

4112 Outlook Blvd
Pueblo, CO 81008-1667
Phone (719) 553-1000

Other identifiers 1

IdentifierTypeStateIssuer
9000162322MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20251125000645 CO Practitioner - Internal Medicine 7416197298 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Colorado School of Medicine, Aurora, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1026 Maxwell St
Colorado Springs, CO 80906-5554

7 Carefree CT
Pueblo, CO 81001-1763

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0030940COMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crossroads Turning Points Inc Current Accepting new patients
Crossroads Turning Points Inc CurrentSince Sep 15, 2025 Accepting new patients
Crossroads Turning Points Inc CurrentSince Sep 15, 2025 Accepting new patients
Crossroads Turning Points Inc Past Accepting new patients
Crossroads Turning Points Inc Past Accepting new patients

Locations

3501 S Main St
Lamar, CO 81052
Phone (719) 336-2600

509 E 13th St
Pueblo, CO 81001
Phone (719) 546-6666

4 Montebello Rd
Pueblo, CO 81001
Phone (719) 546-6667

355 E Spaulding Ave
Pueblo West, CO 81007
Phone (719) 543-8751

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/crossroadstp/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776297600000",
    "number": "1124055256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 CAREFREE CT",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810011763",
            "telephone_number": "719-542-3246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 E 13TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810012940",
            "telephone_number": "719-546-6666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4112 Outlook Blvd",
            "address_purpose": "LOCATION",
            "city": "Pueblo",
            "state": "CO",
            "postal_code": "810081667",
            "country_code": "US",
            "telephone_number": "719-553-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GONZALES",
        "first_name": "WILLIAM",
        "middle_name": "ALBERT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CO",
            "license": "DR.0030940",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000162322",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pueblo, CO

Sources for this page

Verify at the official NPI Registry.