Active NPI
William Blaisedale Betts, MD
- Neurological Surgery Physician
- Austin, TX
National Provider Identifier
1285605196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- H6049
- Practice address
- 3218 Park Hills Dr
Austin, TX 78746-5573 - Phone
- (512) 327-5354
- Fax
- (512) 327-5466
- NPI assigned
- Jan 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | H6049 | TX | Primary |
Addresses
Primary practice location
3218 Park Hills Dr
Austin, TX 78746-5573
Mailing address
3218 Park Hills Dr
Austin, TX 78746-5573
Phone (512) 327-5354
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 044559502 | Medicaid | TX |
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
| License | State | Type | Specialty |
|---|---|---|---|
| H6049 | TX | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center University Associates | Neurological Surgery | Past | Accepting new patients |
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.
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1902832181
Neurological Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369180800000",
"number": "1285605196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3218 PARK HILLS DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787465573",
"telephone_number": "512-327-5354",
"fax_number": "512-327-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3218 PARK HILLS DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787465573",
"telephone_number": "512-327-5354",
"fax_number": "512-327-5466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BETTS",
"first_name": "WILLIAM",
"middle_name": "BLAISEDALE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-30",
"last_updated": "2013-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "TX",
"license": "H6049",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "044559502",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.