William Joseph Scully, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95004589 Issued in CA

Practice address

301 Brundage LN
Bakersfield, CA 93304-3248

Phone

(661) 323-6086

Fax

(661) 324-6301

NPI assigned

Aug 8, 2016

Last updated

Nov 15, 2017By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Pinnacle Primary Care Inc

  • Neurological Surgery Physician
  • Bakersfield, CA
  • NPI 1619244688
  Medicare reassignment NPD
• Pinnacle Primary Care Inc.

  • Family Medicine Physician
  • Bakersfield, CA
  • NPI 1629541685
  NPD

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1225582208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021559",
            "telephone_number": "661-635-3050",
            "fax_number": "661-635-3070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 BRUNDAGE LN",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933043248",
            "telephone_number": "661-323-6086",
            "fax_number": "661-324-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCULLY",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-08",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Torree Scott
• Scott's Social Services, Inc (Scotts Youth Facility)
• Scott's Social Services, Inc (Scotts Youth Facility II)
• Scott's Social Services, Inc
• Antuenette Marie Scruggs
• William Bruce Scurlock, M.D.
• SD Healthcare Consulting Inc
• SD Healthcare Consulting Inc
• SD Healthcare Consulting Inc
• Courtney Ann Seaboldt, ATC

• Family Nurse Practitioner in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.