William M Obryan, MD

Individual provider Active NPI Pulmonary Disease Physician · Owensboro, KY

NPI 1194726992 · NPPES record last updated Mar 24, 2016

Key facts

NPI
1194726992
Entity type
Individual (NPI type 1)
Primary specialty
Pulmonary Disease Physician 207RP1001X
License
20619 (KY)
Practice address
1000 Breckenridge St
Suite 300
Owensboro, KY 42303-0839
Phone
(270) 685-7150
Fax
(270) 685-7173
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary Associates of Owensboro PSC Pulmonary Disease Past
since Jan 1, 1991
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 20619 KY Yes

Addresses

Primary practice location

1000 Breckenridge St
Suite 300
Owensboro, KY 42303-0839

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other identifiers

IdentifierTypeStateIssuer
6420619600MedicaidKY
100008110MedicaidIN

Other providers in Owensboro, KY

All providers in Owensboro, KY · Pulmonary Disease Physician in Kentucky

Sources for this page

Verify at the official NPI Registry.