Individual provider Active NPI

William Stephen Anderson, PA-C

  • Physician Assistant
  • Brighton, MA
National Provider Identifier
1154611838
Registry record updated Feb 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01652 Issued in RI
Practice address
736 Cambridge St
Brighton, MA 02135-2907
Phone
(617) 779-6500
Fax
(617) 779-6785
NPI assigned
Apr 14, 2011
Last updated
Feb 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01652 RI Primary
Physician Assistant 363A00000X NU
Surgical Physician Assistant 363AS0400X NU

Addresses

Primary practice location

736 Cambridge St
Brighton, MA 02135-2907

Mailing address

100 Oneil Blvd
Attleboro, MA 02703-4250
Phone (508) 342-1103

Other practice location 1

593 Eddy Street
Apc 4
Providence, RI 02903
Phone (401) 444-4700

Other practice location 2

100 ONeil Blvd
Attleboro, MA 02703-4250
Phone (508) 342-1103

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20210814000001 MA Practitioner - Physician Assistant 3173797107 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

330 Brookline Ave
Boston, MA 02215-5400
Phone (617) 754-8612

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA01652RIMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Feb 2, 2026 Accepting new patients
BMC Affiliated Physicians, Inc. CurrentSince Sep 18, 2025 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Feb 2, 2026 Accepting new patients
Dana-Farber Cancer Institute, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Feb 2, 2026 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Feb 2, 2026 Accepting new patients
Sturdy Memorial Hospital Inc CurrentSince Apr 5, 2024 Accepting new patients
Massachusetts General Physicians Organization Inc CurrentSince Mar 7, 2022 Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

450 Brookline Ave
Boston, MA 02215
Phone (508) 478-2061

55 Fruit St
Boston, MA 02114

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

736 Cambridge St
Brighton, MA 02135
Phone (617) 789-2762

235 N Pearl St
Brockton, MA 02301
Phone (508) 427-2525

211 Park St
South Attleboro, MA 02703
Phone (508) 222-5200

Interoperability endpoints

  • Direct secure messaging: wanderson74800@direct.phhs.org
  • Direct secure messaging: william.anderson.1@2017.direct.athenahealth.com

Organizations & group practices 10

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 2

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": "1302739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771286400000",
    "number": "1154611838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ONEIL BLVD",
            "city": "ATTLEBORO",
            "state": "MA",
            "postal_code": "027034250",
            "telephone_number": "508-342-1103",
            "fax_number": "508-342-1945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CAMBRIDGE ST",
            "city": "BRIGHTON",
            "state": "MA",
            "postal_code": "021352907",
            "telephone_number": "617-779-6500",
            "fax_number": "617-779-6785"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "593 Eddy Street",
            "address_2": "APC 4",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "02903",
            "country_code": "US",
            "telephone_number": "401-444-4700",
            "fax_number": "401-444-6681",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 ONeil Blvd",
            "address_purpose": "LOCATION",
            "city": "Attleboro",
            "state": "MA",
            "postal_code": "027034250",
            "country_code": "US",
            "telephone_number": "508-342-1103",
            "fax_number": "508-342-1945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "WILLIAM",
        "middle_name": "STEPHEN",
        "name_prefix": "Dr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-14",
        "last_updated": "2026-02-17",
        "certification_date": "2026-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "RI",
            "license": "PA01652",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brighton, MA

Sources for this page

Verify at the official NPI Registry.