Individual provider Active NPI

William Robert Christensen, M.D.

  • Internal Medicine Physician
  • Pittsburg, TX
National Provider Identifier
1215939780
Registry record updated Apr 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D4953 Issued in TX
Practice address
2701 Hwy 271 North
Pittsburg, TX 75686-1032
Phone
(903) 856-6578
Fax
(903) 856-6323
NPI assigned
Aug 13, 2005
Sex
Male
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4953TXMDMarriage & Family Therapist
D4953TXMDInternal Medicine Physician

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D4953 TX Primary

Addresses

NPPES NPI Registry

Primary practice location

2701 Hwy 271 North
Pittsburg, TX 75686-1032

Mailing address

PO Box 1269
Pittsburg, TX 75686-2202
Phone (903) 856-6578

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
120464601MedicaidTX

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 13, 2011.

{
    "created_epoch": "1123891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302652800000",
    "number": "1215939780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1269",
            "city": "PITTSBURG",
            "state": "TX",
            "postal_code": "756862202",
            "telephone_number": "903-856-6578",
            "fax_number": "903-856-6323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 HWY 271 NORTH",
            "city": "PITTSBURG",
            "state": "TX",
            "postal_code": "756861032",
            "telephone_number": "903-856-6578",
            "fax_number": "903-856-6323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHRISTENSEN",
        "first_name": "WILLIAM",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-13",
        "last_updated": "2011-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "D4953",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120464601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.