Active NPI
William Edgar Dickerson, M.D.
- Radiation Oncology Physician
- Bethesda, MD
National Provider Identifier
1245306018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- A41619
- Practice address
- 8901 Wisconsin Ave
NNMC- Radiation Oncology Clinic
Bethesda, MD 20889-0001 - Phone
- (301) 295-5000
- NPI assigned
- Nov 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | A41619 | CA | Primary |
Addresses
Primary practice location
8901 Wisconsin Ave
NNMC- Radiation Oncology Clinic
Bethesda, MD 20889-0001
Mailing address
5304 Locust Ave
Bethesda, MD 20814-1607
Phone (301) 493-8989
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A41619 | CA | MD | Radiation Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1226275200000",
"number": "1245306018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5304 LOCUST AVE",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208141607",
"telephone_number": "301-493-8989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8901 WISCONSIN AVE",
"address_2": "NNMC- RADIATION ONCOLOGY CLINIC",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208890001",
"telephone_number": "301-295-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKERSON",
"first_name": "WILLIAM",
"middle_name": "EDGAR",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-25",
"last_updated": "2008-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "CA",
"license": "A41619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.