William Jerry Harrison, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E6091 Issued in TX

Practice address

970 N Coit Rd Ste 3040
Richardson, TX 75080-5418

Phone

(972) 238-8092

Fax

(972) 238-8093

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Physicians and Allied Health Professionals Group, PA

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1528011814
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256688000000",
    "number": "1245261932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 N COIT RD STE 3040",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805418",
            "telephone_number": "972-238-8092",
            "fax_number": "972-238-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 N COIT RD STE 3040",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750805418",
            "telephone_number": "972-238-8092",
            "fax_number": "972-238-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "WILLIAM",
        "middle_name": "JERRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2009-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E6091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052105602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "052105603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Harris, LPC
• Scott Andrew Harris, O.D.
• Tyra Harris
• Bradley Harrison, R.PH.
• Laura Kaye Harrison, M.A. LPC
• Melissa Elaine Hart, OTR
• Robert L. Hart, DDS
• Johnna R Hartenstine, MCN,RDN,LD
• April Grace Hartley, CNIM
• Kandace Anne Hartwick, E.I.S.

• Family Medicine Physician in Richardson, TX
• Providers in Richardson, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2009; 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.