William Coleman Weatherby, D.O.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

N6094 Issued in TX

Practice address

11705 Airport Way Ste 205
Broomfield, CO 80021-2710

Phone

(512) 522-7708

NPI assigned

Jun 19, 2008

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

University of North Texas HSC, College of Osteopathic Med, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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 and National Provider Directory roles.

• Moontower Wellness, LLC

  • Psychiatry Physician
  • Broomfield, CO
  • NPI 1295092252

  TX

  Medicare reassignment NPD Authorized official
• Paladin CMHC, LLC

  • Mental Health Counselor
  • Austin, TX
  • NPI 1750307377

  Psychiatry

  NPD (past)

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

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1306007604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11705 AIRPORT WAY STE 205",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800212710",
            "telephone_number": "512-522-7708",
            "fax_number": "512-233-0824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11705 AIRPORT WAY STE 205",
            "city": "BROOMFIELD",
            "state": "CO",
            "postal_code": "800212710",
            "telephone_number": "512-522-7708"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1154 Lydia St",
            "address_2": "Ste. 110",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787022603",
            "country_code": "US",
            "telephone_number": "512-522-7708",
            "fax_number": "512-233-0824",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEATHERBY",
        "first_name": "WILLIAM",
        "middle_name": "COLEMAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-19",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "N6094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keeley M Warren
• Kelly Robin Waterman, CNIM
• Summer Watson
• Waypoint Mental Health LLC
• Nadya Waziri, L.AC
• Kelly Webb
• Kim Weber, LPC
• Kathryn Anne Weed, PT
• Dawn Jimenez Wehking, DDS
• Beverly Stein Weiler, LPC

• Psychiatry Physician in Broomfield, CO
• Providers in Broomfield, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.